Valsartan (Diovan) Medicare Coverage

Valsartan
Chemical name: Valsartan

Brand name: Diovan

Typical dosage: 160mg

Typical type: Tablet1

Valsartan is a medication used to treat high blood pressure. Valsartan is available as a brand name or as a generic drug and comes as an oral tablet.

Valsartan is used to reduce high blood pressure. The brand name equivalent of Valsartan is called Diovan.

Valsartan is usually taken twice daily. Your doctor will likely adjust your dose to meet your blood pressure goals.

Valsartan helps your blood vessels relax, which keeps your blood pressure at a normal level.

Common side effects include dizziness, fatigue, stomach pain, back pain, joint pain, headache and flu-like symptoms.

Does Medicare cover Valsartan or Diovan?

Yes! 99% of Medicare Advantage plans and Medicare Part D plans cover Valsartan.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 Valsartan.

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Average costs for Valsartan 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– $59 Free – $59

Additional information

You do not have to take Valsartan with food, but it may help prevent upset stomach if it makes you sick.

Valsartan helps to lower your blood pressure, but you may not be able to notice. Keep taking valsartan as your doctor prescribed even if you feel better.

Blood pressure medications like Valsartan can sometimes lower your blood pressure too much. Talk to your doctor if you experience any extreme dizziness or pass out. Talk to your doctor if you notice any swelling that isn’t normal for you.

Using Valsartan while pregnant can cause injury or death to the developing fetus. If you are planning on becoming pregnant or become pregnant while taking Valsartan, talk to your doctor about the safest way to discontinue Valsartan immediately.

 

 

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. Valsartan. Retrieved Sep. 2019, from www.goodrx.com/valsartan.

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.