Nexterone (Amiodarone) Medicare Coverage

Nexterone
Chemical name: Amiodarone

Brand name: Nexterone

Typical dosage: 200ml of 1.8mg/ml

Typical type: IV injection1

Nexterone is a medication used to treat atrial fibrillation. Nexterone is available as a brand name or generic and comes as an injection and an oral solution.

Nexterone is a antiarrhythmic medication that contains the active ingredient Amiodarone. Nexterone is used to control heart rhythm in atrial fibrillation.

It is typically taken once daily and can be given IV in the hospital or by mouth. It is typically administered by a health care provider or doctor, and it is usually not available at a retail pharmacy.

Common side effects of Nexterone include constipation, upset stomach, feeling tired or weak, loss of appetite, headache, insomnia, change in taste and smell and increased production of saliva.

Does Medicare cover Nexterone or Amiodarone?

Some Medicare Advantage plans and Medicare Part D plans in your area may cover Nexterone, but it's important to note that Nexterone is not typically available at retail pharmacies.

  • 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 Nexterone.

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Average costs for Nexterone 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

Nexterone can be taken with or without food, but you should take it the same way each time you take it.

Nexterone can affect other organs and systems in the body. First, it can lead to liver problems. You may have to get your liver checked regularly. Let your doctor know if you experience dark urine, abdominal pain, vomiting or yellowing of the skin and eyes.

Nexterone can also affect your lungs and your thyroid. Signs of lung problems include shortness of breath, cough or fever. Nexterone can cause your thyroid to not work less efficiently. This is called hypothyroidism.

Signs of hypothyroidism include changes in weight, fatigue, weakness, hair thinning, depression, issues with focus and intolerance to cold.

Since Nexterone can affect the eyes, be sure to let your doctor know if you experience any vision changes, eye pain or eye irritation.

 

 

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.