Midodrine (Proamatine) Medicare Coverage

Midodrine
Chemical name: Midodrine

Brand name: Proamatine

Typical dosage: 5mg

Typical type: Tablet1

Midodrine is a medication used to treat low blood pressure. Midodrine is available as a generic drug and comes as an oral tablet.

Midodrine is a medication used to treat low blood pressure that causes intolerable symptoms. Midodrine increases pressure within the arteries and veins in order to raise the blood pressure to normal.

The brand name equivalent of Midodrine is called Proamatine. It is typically taken 3 times daily during daytime hours.

Common side effects of Midodrine include tingling of the scalp, itching, goosebumps, chills and frequent urination.

Does Medicare cover Midodrine or Proamatine?

Some Medicare Advantage plans and Medicare Part D plans in your area may cover Midodrine.

  • 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 Midodrine.

Find Medicare Advantage plans with drug coverage

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Average costs for Midodrine 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

Low blood pressure can cause many different symptoms including dizziness, confusion, fatigue, shortness of breath and trouble concentrating.

Do not lie down after taking Midodrine. Take your dose at least 4 hours before laying down or at least 4 hours before bedtime. Laying down after taking Midodrine can cause very high blood pressure that can put you at risk for heart problems.

If you have normal or high blood pressure, do not take Midodrine.

 

 

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.