Nitroglycerin (Nitrostat) Medicare Coverage

Nitroglycerin
Chemical name: Nitroglycerin

Brand name: Nitrostat, Nitrolingual, Nitro-Dur

Typical dosage: 0.4mg

Typical type: Tablet1

Nitroglycerin is a medication to treat and prevent chest pain and pressure. It is available as a brand name or generic and comes as an oral tablet, a tablet that dissolves under the tongue, topical formulations and as an IV medication.

Nitroglycerin is a medication used to treat or prevent chest pain and pressure associated with angina. The instructions on how to take nitroglycerin depend on the type of that you are taking.

The brand name equivalents of Nitroglycerin include Nitrostat, Nitrolingual and Nitro-Dur.

Nitroglycerin is able to relax the muscles and blood vessels to relieve pain related to angina. It helps relieve symptoms by decreasing the amount of oxygen your heart demands.

Nitroglycerin is typically well tolerated, but side effects include dizziness and headache.  

Does Medicare cover Nitroglycerin or Nitrostat?

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

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Average costs for Nitroglycerin 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 – $90 Free – $90

Additional information

If you are using the sublingual (under the tongue) formulation of this medication, take 1 dose when you feel chest pain. If pain does not go away or worsens after 3-5 minutes after 1 dose, get emergency help.

Nitroglycerin can interact with other drugs you may be taking. Talk to your doctor about all of your medications before starting Nitroglycerin.

 

 

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.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Nitroglycerin. Retrieved May 2019, from www.goodrx.com/nitroglycerin.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.