Pazeo (Olopatadine) Medicare Coverage

Pazeo
Chemical name: Olopatadine

Brand name: Pazeo

Typical dosage: 2.5ml of 0.7%

Typical type: Eye drops1

Pazeo is a medication used to treat eye allergies. Pazeo is available as a brand name or generic and comes as an eye drop.

Pazeo is a medication that contains the active ingredient Olopatadine. Pazeo is used to treat allergic conjunctivitis or allergies of the eye that cause itching. It is used once daily in each eye.

Pazeo stops histamine from releasing into the eye, stopping allergy symptoms.

Common side effects of Pazeo include headache, blurred vision, eye irritation, dry eyes, feeling like something is in the eye, changes in taste and signs of a common cold.  

Does Medicare cover Pazeo or Olopatadine?

Yes! 61% of Medicare Advantage plans and Medicare Part D plans cover Pazeo.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 Pazeo.

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Average costs for Pazeo 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.
$42 – $423 $19 – $421

Additional information

Pazeo is to be used in the eye only. Wash your hands before and after use.

If you have contact lenses, take them out before using this drug. Some contacts may not be able to be put back into the eye after you use Pazeo, so talk to your doctor before starting Pazeo. Do not put contacts back in if your eyes are irritated or seem infected.

Tilt your head backwards and drop Pazeo into the eye. Do not touch the tip of the container to the eye or skin. After use, keep your eyes closed and put pressure on the inside corner of the eye for 1-2 minutes to help the drug absorb.

Let your doctor know if you experience any changes in eyesight, eye pain or extreme eye irritation.

 

 

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.