Prednisone (Sterapred, Deltasone) Medicare Coverage

Prednisone
Chemical name: Prednisone

Brand name: Sterapred, Deltasone

Typical dosage: 20mg

Typical type: Capsule1

Prednisone is a steroid medication used to treat many different diseases. It is available as a generic medication as an oral tablet or an oral liquid.

Prednisone is a steroid medication with many different uses, such as controlling allergic reactions and treating skin diseases, arthritis, eye disorders, stomach disorders and more. Your dose of Prednisone will depend on what you are using it for.

Prednisone is a corticosteroid that decreases inflammation, suppresses the immune system and can help control nausea in some situations.

The most common side effects of Prednisone include upset stomach, vomiting, insomnia, restlessness, sweating, dizziness and headache.

Does Medicare cover Prednisone or Sterapred/Deltasone?

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

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Average costs for Prednisone 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 – $8 Free – $8

Additional information

For the most benefit – and to reduce side effects – take Prednisone with food or a glass of milk. If you are taking the medication once a day, take it in the morning to avoid insomnia.

Take this medication as directed by your doctor, even if you begin to feel better. Do not stop taking Prednisone without talking to your doctor first. If you have used Prednisone for a long period of time, your doctor may slowly take you off of it over time.

This drug may increase your chance for getting an infection. Wash your hands often and avoid people who are sick and call your doctor if you experience any signs of a wound or illness that will not heal.

 

 

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. Prednisone. Retrieved May 2019, from www.goodrx.com/prednisone.

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.