Alosetron

ALOSETRON is used to treat irritable bowel syndrome (IBS) in women. It is reserved for those women who have severe diarrhea as the main symptom and who have not had success with other treatments. This medicine has not been shown to work in men with IBS. Compare serotonin antagonists.

Lotronex Medicare Coverage

Overview

Does Medicare cover alosetron?

Yes.
97% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my alosetron co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$665 – $1389
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$10 – $667
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$10 – $805
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$5 – $69
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Lotronex

Here are some ways that may lower the cost of your alosetron prescription.

Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.

Find Your Lotronex Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 60 tablets of alosetron 0.5mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $281
AARP MedicareComplete Plan 1 (HMO) $295
AARP MedicareComplete SecureHorizons (HMO) $272
AARP MedicareRx Preferred (PDP) $307
AARP MedicareRx Saver Plus (PDP) $248
Aetna Medicare Rx Saver (PDP) $271
Cigna-HealthSpring Preferred (HMO) $268
Cigna-HealthSpring Rx Secure (PDP) $166
Cigna-HealthSpring Rx Secure-Extra (PDP) $180
EnvisionRxPlus Silver (PDP) $238
Express Scripts Medicare - Value (PDP) $284
First Health Part D Value Plus (PDP) $330
Humana Enhanced (PDP) $378
Humana Preferred Rx Plan (PDP) $286
Humana Walmart Rx Plan (PDP) $286
Kaiser Permanente Senior Advantage (HMO) $10
MedicareBlue Rx Standard (PDP) $341
SilverScript Choice (PDP) $624
Symphonix Value Rx (PDP) $264
WellCare Classic (PDP) $347
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Lotronex Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of alosetron that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your doctor fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is alosetron typically on?

Tier 5

Medicare plans typically list alosetron in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
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