Myrbetriq Medicare Coverage

Myrbetriq is a prescription medication that contains the active ingredient Mirabegron. It is taken once daily for the treatment of overactive bladder.

Myrbetriq activates beta receptors in the bladder, which increases the bladder capacity and decreases the urge to urinate.

The major side effects of this medication include headache, flu-like symptoms, dry mouth, back pain, dizziness, joint pain and constipation.

How much does Myrbetriq cost with Medicare?

Myrbetriq 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 Myrbetriq?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Myrbetriq in 2023.¹

• Medicare Advantage plans or Part D plans that cover Myrbetriq 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 Myrbetriq. 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

Myrbetriq may take up to 8 weeks to be fully effective. It may be used alone or in combination with other medications that also treat overactive bladder.

You can take Myrbetriq with or without food, but do not chew, break or crush the tablet. You should take this tablet with a full glass of water.

Myrbetriq has caused high blood pressure in some patients. You may have to check your blood pressure regularly while taking this medication.

Risks may be present when taking Myrbetriq while pregnant or breastfeeding.

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.