Does Medicare Cover Depakote?
This article was updated on: 09/10/2018
Has your doctor prescribed Depakote (or its generic equivalent, divalproex sodium) for you? It’s possible that Medicare Part A could cover this prescription drug if administered in a hospital setting as part of your inpatient stay. For most prescription drugs to be covered, you’ll need to enroll in a Medicare plan that includes prescription drug coverage. Depakote has a number of possible uses, according to the National Institutes of Health, It may be used to treat seizures, to prevent (but not cure) migraine headaches, and as part of treatment of bipolar disorder.
Which parts of Medicare affect my coverage for Depakote?
Although Medicare is a federally-funded insurance program, the government only directly provides certain parts of Medicare coverage (Part A and Part B), while Part C and Part D are programs through which private companies contract with Medicare to provide benefits. These “parts” of Medicare are:
- Medicare Part A: Hospital coverage – May cover prescription drugs if they’re administered in a hospital setting as part of your treatment as an inpatient
- Medicare Part B: Medical insurance –May cover certain prescription drugs if they’re administered in an outpatient setting, such as injections and infusions
- Medicare Part C (Medicare Advantage) – Provides Medicare Part A and Part B coverage through a Medicare Advantage plan (except for hospice care, still directly covered by Part A)
- Medicare Part D – Provides prescription drug coverage, which may includeDepakote or divalproex sodium
If you’re enrolled in Original Medicare, a common name for Medicare Part A and Part B, you can enroll in a stand-alone Medicare Part D Prescription Drug Plan to receive prescription drug coverage for Depakote, if the plan covers it. Medicare allows you to enroll in this type of plan if you live within its service area and if you have Medicare Part A or Part B.
If you get your Original Medicare benefits through a Medicare Advantage plan, you might have coverage for Depakote. Not every plan includes prescription drug coverage, but most do (they’re called Medicare Advantage Prescription Drug plans) – and not every plan will necessarily cover Depakote (more about this below). Many of these plans offer additional benefits, such as routine vision services. You’re still in the Medicare program if you’re enrolled in this type of plan, so you need to continue paying your Part B premium, as well as any premium the Medicare Advantage plan may require. Some plans may have premiums as low as $0.
How do I find a Medicare plan that covers Depakote?
Whether you have a stand-alone Medicare Part D Prescription Drug Plan or a Medicare Advantage Prescription Drug plan, you can look at the plan’s formulary to see if Depakote is covered. A formulary is a list of prescription drugs the plan covers, divided into pricing tiers. A plan’s formulary may change at any time. You will receive notice from your plan when necessary.
It’s easy to look for plans in your area that cover Depakote. Just click the Compare Plans button on this page, enter your zip code, and use the “Add your Rx drugs” tool to customize your search.
When can I sign up for Medicare prescription drug coverage?
If you sign up for a plan that includes prescription drug coverage when you’re first eligible for Medicare, you can use this coverage and help save money on your prescriptions.
You can sign up for a plan after your Medicare Initial Enrollment Period has ended, but be aware that if you delay enrollment, you could pay a Part D late-enrollment penalty when you do decide to enroll. Read more about the election periods for getting this coverage.
I’d be happy to help you discover more information about Medicare coverage for Depakote.
- Request an email for more information, or arrange a phone call with me by clicking one of the buttons below.
- Click the Compare Plans button or the Find Plans button to find out about Medicare plans and pricing in your area.