Regardless of your ailments or your Medicare plan, no one should have to go through life in pain. Qutenza is an option for those seeking topical relief from nerve pain. Unfortunately, the cost for Qutenza can be about $987 according to GoodRx
Qutenza is a prescription topical and transdermal patch-based medication used to manage pain associated with postherpetic neuralgia, diabetic neuropathy of the feet, and peripheral neuropathic pain due to a variety of conditions. It contains 8% capsaicin and helps reduce the intensity of intermittent burning and shooting pains.
For those who have Medicare Part D, coverage of Qutenza is unlikely. However, you may be able to get reimbursement if your doctor prescribes the drug and your pharmacy accepts Medicare. You should contact your plan administrator for more information.
If you do not have Medicare Part D or don't qualify for reimbursement, you may still be able to find financial assistance programs that can help make Qutenza more affordable. For example, there are patient assistance programs available through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid. You can also ask your doctor if they offer any payment plans or if they have samples of the drug to give you.
Medicare Part D
Medicare Part D does not typically cover Qutenza, as it is a non-traditional medication. Other medications and treatments not covered by Part D include over-the-counter drugs, herbal remedies, vitamins and supplements, cosmetic procedures, experimental treatments or drugs. There might be some pain relief prescriptions that will be approved on your Part D plan. Consult with your doctor about finding an appropriate substitute for Qutenza, and check your Part D formulary to see what be covered. The above does not constitute medical advice; this content is for informational purposes only.
If you don’t have insurance coverage for Qutenza, there are still some options to help make the drug more affordable. Talk to your doctor about any payment plans or samples they might offer. Additionally, you can look into patient assistance programs offered through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid.
When considering the cost of Qutenza or other treatments for chronic pain relief, it’s important to do your research and talk to your doctor about the best option for you. Some questions Medicare beneficiaries might have about Qutenza include the following:
Will Medicare Part D help cover the cost of Qutenza?
What if I don’t have Medicare Part D or don’t qualify for reimbursement?
Are there any financial assistance programs available to help cover the cost of Qutenza?
Does any other insurance plan cover Qutenza?
To answer these, you might consult with your doctor, pharmacist, or insurance plan provider. You may find that there are more affordable alternatives than Qutenza, such as over-the-counter medications or lifestyle changes. Be sure to speak with your doctor about any concerns regarding the treatments for chronic pain relief.
Medicare Part D plans do not generally cover Qutenza. However, you may be able to get reimbursement if your doctor prescribes the drug and your pharmacy accepts Medicare. Additionally, there are patient assistance programs available through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid. Be sure to do your research and talk to your doctor about the best option for you. This content is for informational purposes only. It does not constitute medical advice and should not be used as a substitute for professional medical advice. If you have questions about Medicare, talk to an expert at Fair Square
Does Medicare Cover Robotic Surgery?
Nov 28, 2022
Fair Square Client Newsletter: AEP Edition
Oct 2, 2023
What To Do If Your Medicare Advantage Plan Is Discontinued
Feb 26, 2024
Does Medicare Cover Wart Removal?
Jan 17, 2023
Does Medicare Pay for Allergy Shots?
Nov 29, 2022
Medicare & Ozempic
Jul 20, 2023
Does Medicare Cover Cardiac Ablation?
Dec 9, 2022
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023
When to Choose Medicare Advantage over Medicare Supplement
Jun 7, 2023
What Are Medicare Part B Excess Charges?
Jan 6, 2023
Does Medicare Cover Nexavar?
Nov 30, 2022
The Easiest Call You'll Ever Make
Jun 28, 2023
What is the 8-Minute Rule on Medicare?
Dec 21, 2022
Medicare Consulting Services
Apr 3, 2023
Does Medicare Cover Kidney Stone Removal?
Nov 23, 2022
What is a Medicare Beneficiary Ombudsman?
Apr 11, 2023
Will Medicare Cover Dental Implants?
Jun 2, 2022
How Does Medicare Cover Colonoscopies?
Dec 27, 2022
13 Best Ways for Seniors to Stay Active in Indianapolis
14 Best Ways for Seniors to Stay Active in Nashville
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Are Medicare Advantage Plans Bad?
Building the Future of Senior Healthcare
Can Doctors Choose Not to Accept Medicare?
Can I Choose Marketplace Coverage Instead of Medicare?
Can I Have Two Primary Care Physicians?
Can I switch From Medicare Advantage to Medigap?
Can Medicare Advantage Plans be Used Out of State?
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Comparing All Medigap Plans | Chart Updated for 2025
Costco Pharmacy Partners with Fair Square
Do All Hospitals Accept Medicare Advantage Plans?
Does Medicare Cover Abortion Services?
Does Medicare Cover an FMT?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Bladder Sling Surgery?
Does Medicare Cover Breast Implant Removal?
Does Medicare Cover Cala Trio?
Does Medicare Cover Cervical Disc Replacement?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Flu Shots?
Does Medicare Cover Hoarding Cleanup?
Does Medicare Cover Hypnotherapy?
Does Medicare Cover Krystexxa?
Does Medicare Cover Kyphoplasty?
Does Medicare Cover Light Therapy for Psoriasis?
Does Medicare Cover Nuedexta?
Does Medicare Cover Orthodontic Care?
Does Medicare Cover Ozempic?
Does Medicare Cover Qutenza?
Does Medicare Cover RSV Vaccines?
Does Medicare Cover Scleral Lenses?
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover SIBO Testing?
Does Medicare Cover the WATCHMAN Procedure?
Does Medicare Cover Xiafaxan?
Does Medicare Cover Zilretta?
Does Medicare Pay for Varicose Vein Treatment?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Does Your Medicare Plan Cover B12 Shots?
Does Your Plan Include A Free Gym Membership?
Everything About Your Medicare Card + Medicare Number
Explaining IRMAA on Medicare
Finding the Best Dental Plans for Seniors
How Are Medicare Star Ratings Determined?
How Much Does Rexulti Cost with Medicare?
How Much Does Xeljanz Cost with Medicare?
How to Apply for Medicare?
How to Become a Medicare Agent
How to Enroll in Social Security
How Your Employer Insurance and Medicare Work Together
Is Displacement Affecting Your Medicare Coverage?
Is Emsella Covered by Medicare?
Is Fair Square Medicare Legitimate?
Medicare 101
Medicare Advantage MSA Plans
Medicare Deductibles Resetting in 2025
Medicare Guaranteed Issue Rights by State
Medicare Savings Programs in Kansas
Seeing the Value in Fair Square
Should You Work With A Remote Medicare Agent?
Welcome to Fair Square's First Newsletter
What Happens to Unused Medicare Set-Aside Funds?
What If I Don't Like My Plan?
What Is Medical Underwriting for Medigap?
What People Don't Realize About Medicare
What's the Difference Between HMO and PPO Plans?
Will Medicare Cover it?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
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. © 2025 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.
MULTIPLAN_FairSquareMedicare_01062022_M