You may be able to find Medicare plan options in your area that cover Xyrem (Sodium Oxybate). Learn more about Xyrem and find Medicare Advantage plans in your area that cover other prescription drugs.
Chemical name: Sodium Oxybate
Brand name: Xyrem
Typical dosage: 180ml of 500mg/ml
Typical type: Oral liquid1
Xyrem is a medication used to treat narcolepsy. Xyrem is available as a brand name drug and comes as an oral liquid.
Xyrem is a medication that contains the active ingredient Sodium Oxybate. Xyrem is used to treat narcolepsy and is a controlled substance due to the potential for abuse and addiction.
When taken at bedtime, Xyrem increases deep sleep and the time spent asleep to reduce sleepiness throughout the next day. It is typically taken twice daily, once at bedtime and again 4 hours later.
Common side effects of Xyrem include nausea, sleepiness, dizziness, vomiting, bedwetting and tremors.
How much does Sodium Oxybate cost with Medicare?
Sodium Oxybate 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 cover Sodium Oxybate?
According to GoodRx, 80% of Medicare Advantage plans and Medicare Part D plans covered Sodium Oxybate, the generic form of Xyrem, in 2023.1
Medicare Advantage plans or Part D plans that cover Sodium Oxybate 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 Sodium Oxybate. We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.
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.
1 GoodRx. Xyrem. Retrieved October 2023, from www.goodrx.com/Xyrem/medicare-coverage.
A formulary for Medicare is the list of drugs a given Medicare Part D prescription drug plan or Medicare Advantage Prescription Drug (MA-PD) plan will cover. A Medicare plan formulary details information such as how drugs are covered, their relative costs, limitations and/or restrictions. Read more