Montelukast (Singulair) Medicare Coverage

Montelukast
Chemical name: Montelukast

Brand name: Singulair

Typical dosage: 10mg

Typical type: Tablet1

Montelukast is a medication typically used to treat seasonal or chronic allergies and asthma and to prevent exercise induced asthma. Montelukast is available as a brand name or generic and comes as a chewable or oral tablet.

Montelukast is the generic form of the brand name drug called Singulair. Montelukast is used to treat allergies, asthma and exercise-induced asthma prevention.

Montelukast is typically only taken once daily. If you are using Montelukast for prevention of exercise induced asthma, you should take your dose at least 2 hours prior to exercise.

Montelukast is a leukotriene receptor antagonist that blocks substances in the body that cause symptoms of asthma and allergies. The most common side effects of Montelukast include headache, upset stomach, diarrhea, signs of a common cold and cough.

Does Medicare cover Montelukast or Singulair?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Montelukast.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.2

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Montelukast.

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Average costs for Montelukast with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
Free – $17 Free – $17

Additional information

You can take Montelukast with or without food. If you are taking Montelukast for asthma or allergies, keep taking this medication even if you feel better. If you are using this drug for asthma, take your dose in the evening.

Montelukast has been shown to sometimes cause changes in behavior in some people who take it. Call your doctor if you are experiencing signs of a dramatic change in mood, suicidal thoughts, nervousness, emotional mood swings, abnormal thoughts or anxiety.

Call your doctor if you begin having skin problems while taking this drug. A skin condition called Stevens-Johnson syndrome can happen. Signs of Stevens-Johnson syndrome include red, swollen, blistered or peeling skin; red or irritated eyes; or sores in your mouth, throat, nose or eyes.

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.