Oxybutynin (Ditropan) Medicare Coverage

Oxybutynin is a medication used to manage symptoms of overactive bladder. It relaxes the muscles in the bladder in order to reduce the urge to use the bathroom. It also increases the capacity of your bladder and reduces contractions.

Oxybutynin is available in a variety of different forms including a topical gel, a patch, a syrup or an oral tablet in immediate- and extended-release forms. The brand name equivalent of Oxybutynin is called Ditropan.

Side effects of Oxybutynin include drowsiness, dizziness, blurry eyes, headache, upset stomach, constipation, diarrhea, dry mouth, insomnia or excitability.

The skin patch and gel may cause skin irritation, redness or itching where the product is used.

How much does Oxybutynin cost with Medicare Advantage?

Oxybutynin 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 Advantage cover Oxybutynin?

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

• Medicare Advantage plans or Part D plans that cover Oxybutynin 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 Oxybutynin. We represent carriers such as Humana, Aetna, UHC, Anthem BCBS, Wellcare, Cigna Healthcare, and 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

Symptoms of an overactive bladder include a sudden urge to urinate that is difficult to control, involuntarily urinating right after feeling the urge to go to the bathroom, urinating frequently (eight or more times in 24 hours) or waking up 2 or more times throughout the night to urinate.

If you are 65 years or older, you may experience more side effects while taking Oxybutynin. Behavioral therapy such as urge suppression or bladder retraining is often prescribed for older adults.

If you use Oxybutynin, be aware of the sedation side effect and avoid doing activities that require your full attention.

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.