Does Medicare Cover Xiafaxan?

About

Medicare 101

Current Clients

Does Medicare Cover Xiafaxan?

older man suffering from stomach pain due to IBS stock photo

By Daniel Petkevich

Jan 19, 2023

Get treatment for your IBS with Medicare

The symptoms of IBS don't have to come with getting older; some medications, like Xiafaxan, can help you live easier. And there's good news for Medicare beneficiaries. All

Medicare Part D

plans cover Xiafaxan, but the cost will depend on your coverage phase. Read on to see how much you can expect to pay for Xiafaxan.

Stay Up to Date on Medicare!

What is Xiafaxan and what does it do?

Xiafaxan is a prescription drug used to treat adults with traveler's diarrhea caused by E. coli and irritable bowel syndrome (IBS). It works by slowing down the movement of waste through the bowel, resulting in firmer stools and more frequent bowel movements. According to

WebMD

, it may also help you think more clearly by preventing a brain problem tied to liver disease. If you’re having trouble going to the bathroom regularly, Xiafaxan can help relieve these symptoms.

Does Medicare cover Xiafaxan?

If you have Medicare Part D, Xiafaxan is covered under your prescription drug plan. You should check with your insurance provider for specific details about what is covered and at what cost. You can also check your plan's formulary for more information.

How to get coverage for Xiafaxan through Medicare Part D?

If you are considering taking Xiafaxan, talk to your doctor first and make sure it is the best option for you. They will be able to answer any questions or concerns that you may have about this medication and its potential effects on other health conditions that you may have. Once you and your doctor have agreed to use Xiafaxan, there may be certain restrictions on coverage, including quantity limits or prior authorization requirements. You should always check with your insurer for specific details about

what is covered

and at what cost.

How much does Xiafaxan cost with Medicare?

The cost of Xiafaxan on Medicare will depend on your Part D prescription drug plan. Different plans may have different coverage levels and copay amounts, so it’s important to check with your insurer for specific details about what is covered and at what cost. Your costs on your Xiafaxan prescription also depend on your coverage phase. According to

GoodRx

, your cost in the post-deductible coverage phase could be $13-$57, and your cost in

the coverage gap (aka donut hole)

could be $22-$26.

Tips for getting the most out of your coverage for Xiafaxan

Talk to your doctor about any restrictions or prior authorization requirements before filling a prescription for Xiafaxan
Check with your insurer to find out what is covered and at what cost
Consider generic options if available
Ask your pharmacist if they have any discounts or coupons that could lower the cost of Xiafaxan

Questions to ask your doctor when considering taking Xiafaxan under Medicare Part D

Does Xiafaxan treat my condition?
Are there any side effects I should be aware of?
What is my copay?
What restrictions are in place on my coverage, if any?
Does my pharmacist have any coupons or discounts that I could use to lower the cost of Xiafaxan?

Takeaway

Medicare Part D covers Xiafaxan, a prescription drug used to treat adults with bowel trouble. Your exact coverage will depend on your plan, so it’s important to check with your insurer for specific details about what is covered and at what cost. Talk to your doctor about any restrictions with the prescription. This content is for informational purposes only. If you have questions about Medicare coverage or changing your plan, our team of experts is ready to help. Reach out to

Fair Square Medicare

today.

Stay Up to Date on Medicare!

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.

888-572-6033

info@fairsquaremedicare.com

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

•

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. © 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

Does Medicare Cover Xiafaxan?

Get treatment for your IBS with Medicare

Stay Up to Date on Medicare!

What is Xiafaxan and what does it do?

Does Medicare cover Xiafaxan?

How to get coverage for Xiafaxan through Medicare Part D?

How much does Xiafaxan cost with Medicare?

Tips for getting the most out of your coverage for Xiafaxan

Questions to ask your doctor when considering taking Xiafaxan under Medicare Part D

Takeaway

Stay Up to Date on Medicare!

Recommended Articles

More of our articles

Your Medicare One-Stop-Shop

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans