Movantik® Medicare Coverage

Movantik is a prescription medication that contains the active ingredient Naloxegol. Movantik is taken once daily for the treatment of constipation from the use of opioids.

Movantik works on opioid receptors in the GI tract to decrease the constipation associated with opioids.

The most common side effects associated with Movantik include diarrhea, gas, headache, nausea, vomiting and belly pain.

How much does Movantik cost with Medicare?

Movantik coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Movantik?

According to GoodRx, 92% of Medicare Advantage plans and Medicare Part D plans covered Movantik in 2023.¹

• Medicare Advantage plans or Part D plans that cover Movantik include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.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 Movantik. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

You should stop all other maintenance laxative medications before starting Movantik. You may start laxatives as needed if Movantik is not working after 3 days.

This drug is only for use in patients who take certain pain medications. You should stop taking Movantik when you are no longer taking opioid pain medications.

This medication can cause withdrawals after stopping. Call your doctor if you have sweating, chills, diarrhea, stomach pain that is not normal, anxiety, irritability or excessive yawning.

This medication may not work as well for patients who have been taking pain medications for less than 4 weeks. You should not use this drug if you have severe liver problems.

While many patients can safely take Movantik, use during pregnancy can cause opioid withdrawal in the unborn baby. Breastfeeding is not recommended while using Movantik.

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.