Fair Square Medicare Wordmark

Does Medicare Cover Nuedexta?

Upset senior woman crying stock photo
By Daniel Petkevich
Nov 30, 2022

Most people will have coverage, see how to make sure

For Medicare beneficiaries seeking treatment for PBA, knowing that you have coverage can offer peace of mind. Luckily, most Medicare Part D plans will offer coverage for Nuedexta. Read more to learn about Medicare coverage and potential restrictions on coverage.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

What is PBA?

Pseudobulbar affect, or PBA, is a neurological disorder characterized by sudden uncontrollable laughing and/or crying episodes. Other symptoms associated with PBA include unpredictable emotional outbursts, poor impulse control, and cognitive changes, including memory problems.

What is Nuedexta and how does it work?

Nuedexta is an FDA-approved medication used to treat PBA in adults. It is a combination of two drugs: dextromethorphan and quinidine, which work together to regulate the levels of neurotransmitters in the brain that are associated with PBA.

How common is PBA?

The estimate is that between 2 million and 7 million Americans are affected by PBA. While it can affect anyone, those with neurological conditions such as multiple sclerosis, Parkinson's disease and Alzheimer's disease are particularly prone to developing the disorder.

How common is Nuedexta use among people with pseudobulbar affect?

Nuedexta is the only FDA-approved medication indicated for treating pseudobulbar affect. As a result, it is the most commonly prescribed treatment option for those with PBA.

What are the side effects of Nuedexta?

As with any medication, there are potential side effects associated with Nuedexta. Common side effects include dizziness, nausea, diarrhea, cough, and vomiting. These effects usually subside over time as the body adjusts to the medication.

Is there a cure for pseudobulbar affect?

Unfortunately, there is no cure for pseudobulbar affect. However, with the right treatment plan, symptoms can be managed. The most effective way to manage PBA is with Nuedexta in combination with counseling or therapy.

Does Medicare cover Nuedexta?

Yes, about 99% of Medicare Part D plans cover Nuedexta. However, coverage and restrictions can vary depending on the plan. It’s best to check your Part D formulary to see if Nuedexta is included. Don't forget to speak to your provider directly to determine your specific coverage.
The average tier rating for Nuedextra is Tier 3. Most plans have five tiers, with the price increasing as the tiers go higher. Your cost for Nuedexta will also be determined by which coverage phase you are in.

Are there any restrictions on Medicare coverage for Nuedexta?

Yes, Medicare Part D plans may impose certain restrictions on coverage for Nuedexta. These restrictions can include prior authorization requirements and specific dosage limits. It’s best to speak to your provider directly to determine the coverage details of your plan.

How to get help paying for Nuedextra if you have Medicare

If you have Medicare and need help paying for Nuedexta, there are several options available to you. These include prescription discount cards, manufacturer coupons, government assistance programs, and other cost-saving strategies. It’s best to speak with your provider or pharmacist to determine which option is right for you.


Medicare typically covers Nuedexta for the treatment of pseudobulbar affect. However, coverage and restrictions can vary depending on the plan. To find out more about your potential coverage, talk to your provider or pharmacist. Of course, check with your doctor before you decide to start or stop taking any medication (including Nuedexta). This content is for informational purposes only. For an

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

amazon box
What If I Don't Like My Plan?
Jun 8, 2020
Enroll in Social Security step-by-step with the help of Fair Square stock image
How to Enroll in Social Security
Apr 28, 2023
bearded man holding his head in confusion looking at his laptop stock image
Why Is Medicare So Confusing?
Apr 19, 2023
Senior woman receiving an ear exam stock photo
Does Medicare Require a Referral for Audiology Exams?
Nov 22, 2022
Cover image
Medicare Deductibles Resetting in 2024
Jan 18, 2024
Cover image
Can I Use Medicare Part D at Any Pharmacy?
Aug 28, 2023
Cover image
Is Fair Square Medicare Legitimate?
Jul 27, 2023
Illustrated referential images of a hospital bill, coins, cash in a wallet, a calculator, and a magnifying glass
What Are Medicare Part B Excess Charges?
Jan 6, 2023
Model of the lungs with the diseased part stock photo
Does Medicare Cover Ofev?
Dec 2, 2022
Cover image
Can I Choose Marketplace Coverage Instead of Medicare?
May 2, 2023
Doctor physician consulting with male patient in hospital exam room stock photo
Is Gainswave Covered by Medicare?
Dec 6, 2022
Four hands holding cut out image of kidneys stock image
Does Medicare Cover ESRD Treatments?
Dec 8, 2022
stack of books stock image
Do You Need Books on Medicare?
Apr 6, 2023
breast cancer awareness ribbon stock image
Does Medicare Cover Piqray?
Dec 2, 2022
Emergency section of a hospital exterior stock photo
How Does Medicare Pay for Emergency Room Visits?
Nov 21, 2022
Senior woman having vision problems stock photo
Does Medicare Cover Macular Degeneration?
Nov 30, 2022
senior man receiving dental care stock photo
Will Medicare Cover Dental Implants?
Jun 2, 2022
Cover image
Health Savings Accounts (HSAs) and Medicare
Jan 24, 2024

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Philadelphia

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Washington, D.C.

20 Questions to Ask Your Medicare Agent

2024 "Donut Hole" Updates

2024 Cost of Living Adjustment

Are Medicare Advantage Plans Bad?

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans be Used Out of State?

Can Medicare Help with the Cost of Tyrvaya?

Comparing All Medigap Plans | Chart Updated for 2023

Do I Need Medicare If My Spouse Has Insurance?

Do I Need to Renew My Medicare?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Cosmetic Surgery?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Inqovi?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Nuedexta?

Does Medicare Cover Ozempic?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover Stair Lifts?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover Vitamins?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Varicose Vein Treatment?

Everything About Your Medicare Card + Medicare Number

Explaining IRMAA on Medicare

Finding the Best Dental Plans for Seniors

Finding the Best Vision Plans for Seniors

How Can I Get a Replacement Medicare Card?

How Do Medicare Agents Get Paid?

How is Medicare Changing in 2023?

How Much Does Medicare Part B Cost in 2023?

How Much Does Xeljanz Cost with Medicare?

How to Apply for Medicare?

How to Deduct Medicare Expenses from Your Taxes

Is HIFU Covered by Medicare?

Is PAE Covered by Medicare?

Medicare 101

Medicare Advantage Plans for Disabled People Under 65

Medicare Supplement Plans for Low-Income Seniors

Seeing the Value in Fair Square

Should You Work With A Remote Medicare Agent?

The Easiest Call You'll Ever Make

The Fair Square Bulletin: September 2023

The Fair Square Bulletin: The End of the COVID Emergency Declaration

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What Is a Medicare Supplement SELECT Plan?

What is the 8-Minute Rule on Medicare?

What You Need to Know About Creditable Coverage

When to Choose Medicare Advantage over Medicare Supplement

Which Medigap Policies Provide Coverage for Long-Term Care?

Why You Should Keep Your Medigap Plan

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.


Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2024

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2024 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.