Reclast® Medicare Coverage

Reclast®
Chemical name: Vedolizumab

Typical dosage: 300mg

Typical type: IV infusion1

Reclast® is a prescription medication used to treat moderate to severe Ulcerative Colitis (UC) or Crohn’s Disease (CD) in adults. This medication is administered as an IV injection and is available in both generic and brand formulations.

Reclast is a prescription medication that contains the active ingredient Zoledronic Acid. It is given IV once every 1 to 2 years for the prevention and treatment of osteoporosis and Paget’s disease treatment.

Reclast is a bisphosphonate medication that inhibits bone breakdown to reduce bone loss and risk of fracture.

The most common side effects of Reclast include nausea and vomiting, dizziness, feeling tired or weak, stomach pain, heartburn, headache, flu-like symptoms, diarrhea, constipation, bone and joint pain and pain in arms or legs.

Does Medicare cover Reclast?

No. Medicare Advantage plans and Medicare Part D plans do not typically cover Reclast.1

You may be able to find Medicare Advantage plans or Part D plans that help treat osteoporosis and Paget’s disease.

  • 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.

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Average costs for Reclast with Medicare drug coverage1

Because Medicare Advantage plans and Medicare Part D plans do not typically cover Reclast, you will likely be responsible for all costs for this drug if you have one of these types of Medicare coverage.

Additional information

Reclast should be administered by a licensed healthcare provider in a healthcare facility. Your doctor may recommend calcium and Vitamin D to support your bone health.

You may not be able to use Reclast if you have severe kidney problems. Jaw bone problems may occur after receiving this medication.

Your risk for jaw bone problems may be higher if you have cancer, dental problems, dentures that do not fit well, anemia, blood clotting problems or an infection.

Call your doctor right away if you have unusual jaw pain or swelling. Practice good dental hygiene and get regular check-ups to prevent any problems.

Reclast may cause fertility problems and can cause harm to an unborn baby if you are pregnant. If you are able to get pregnant, a pregnancy test will be done prior to receiving Reclast to ensure you are not pregnant.

Use birth control to prevent pregnancy during treatment with this drug and after your last dose. If you get pregnant while taking this drug or within several months after the last dose, call your doctor right away.

 

 

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.

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

1 GoodRx. Reclast. Retrieved May 2019, from www.goodrx.com/reclast.

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.