Does Medicare Cover Oxybutynin?
Fair Square Medicare

Does Medicare Cover Oxybutynin?

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By Daniel Petkevich

Dec 2, 2022

Good news for Medicare beneficiaries

If you are dealing with issues related to incontinence or an overactive bladder, finding the proper medication can help you get back to your old self. Oxybutynin is a treatment that works for some people, and the good news is it's covered by 100% of Medicare Part D drug plans.

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What is Oxybutynin?

Oxybutynin is a drug used to treat symptoms of urinary incontinence and overactive bladder, such as frequent urination, urgency and urge incontinence. Oxybutynin works by decreasing muscle spasms in the bladder and urinary tract.

Is Oxybutynin right for you?

Oxybutynin is most often prescribed for adults aged 18 years and over. It may not be suitable for people with certain conditions, such as certain kidney diseases, or if you have a narrow bladder neck. Your doctor will advise you whether this medicine is right for you.

Medicare coverage for Oxybutynin

If you have a Medicare Part D prescription drug plan, you have coverage for Oxybutynin. Generally, the drug tier for Oxybutynin is Tier 2 out of the standard 5. That means that Oxybutynin is on the cheaper side. Your copayment or coinsurance may vary depending on the plan you select, so check your drug plan's coverage details to see what applies to your specific situation.

It is important to keep in mind that Medicare coverage may change over time, and you should check periodically to ensure that you have the most up-to-date coverage.

What are the benefits of Oxybutynin?

Oxybutynin is a very effective treatment for overactive bladder and urinary incontinence. It can help reduce frequent urination, urgency, urge incontinence, and other symptoms associated with these conditions. Additionally, it may also improve your quality of life by reducing the social embarrassment and anxiety that often arise from urinary issues.

What is the process for getting Medicare coverage for Oxybutynin?

To get coverage for Oxybutynin, you need to have a prescription from your healthcare provider. Once you have this prescription, simply take it to your local pharmacy to fill it. Your pharmacist will be able to tell you if your drug plan covers Oxybutynin and what copayment or coinsurance is required. The cost of the drug will depend on which coverage phase you are in. Contact your pharmacist or insurance plan provider for any specific questions.


All Medicare Part D plans have coverage for Oxybutynin. If you think Oxybutynin may be right for you, speak to your doctor first. This content is for informational purposes only. Talk with an expert at Fair Square Medicare today for any Medicare questions you have.

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

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