Avodart (Dutasteride) Medicare Coverage

Avodart
Chemical name: Dutasteride

Brand name: Avodart

Typical dosage: 0.5mg

Typical type: Capsule1

Avodart is a medication used to treat enlarged prostate, or benign prostatic hyperplasia (BPH). It is available as a brand name or generic drug and comes as an oral capsule.

Avodart is a medication that contains the active medicine Dutasteride. Avodart is used to treat benign prostatic hyperplasia (BPH), which is an enlarged prostate.

Avodart stops the creation of a hormone called dihydrotestosterone that contributes to BPH and the associated symptoms. It is typically taken one time daily.

Common side effects of Avodart include dizziness and a change in libido.

Does Medicare cover Avodart or Dutasteride?

While some Medicare plans may not cover Avodart, some Medicare Advantage plans and Medicare Part D plans may cover generic Dutasteride.

  • 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.1

  • 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 Dutasteride.

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Average costs for Dutasteride with Medicare drug coverage

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.

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.

Additional information

Avodart can be taken with or without food. It is typically well tolerated, but let your doctor know if you experience enlarged breasts, breast pain, nipple discharge or worsened depression.

Rarely, men taking Avodart have developed a form of prostate cancer. Talk to your doctor about the risk and ask about regular prostate monitoring. Avodart may also affect sperm in men.

It is not recommended to donate blood while using Avodart, or within 6 months after stopping the medication.

 

 

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.