Does Medicare Cover Lipitor?

Last Updated : 09/10/20183 min read

What is Lipitor?

Lipitor, or generic for Lipitor, Atorvastatin, is in a group of drugs known as statins. According to the FDA, this prescription drug may be used to control your LDL cholesterol and triglyceride levels. Lipitor works by slowing the production of cholesterol in the body and decreasing the amount of cholesterol that may build up in the arteries and block blood flow to the heart, according to the U.

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S. National Library of Medicine. Lipitor or generic for Lipitor may be used together with diet, weight loss, and exercise to reduce the risk of heart attack and stroke, reports the U.S. National Library of Medicine.

Does Medicare Cover Lipitor?

Medicare Part B typically only covers drugs such as infusions or injections administered at a doctor’s office or in a hospital outpatient setting. Medicare Part A typically only covers prescription drugs you receive as an inpatient in a hospital or other facility. For other prescriptions you take at home such as Lipitor, you may want Medicare Part D coverage from a private insurance company. This coverage is available as either a stand-alone Prescription Drug Plan or a Medicare Advantage Prescription Drug plan, which has the same benefits as Original Medicare, plus drug coverage. (With Medicare Advantage hospice care is still covered by Medicare Part A.) Both stand-alone Part D Prescription Drug Plans and Medicare Advantage Prescription Drug plans may cover Lipitor or Lipitor generic.

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How do I know if my plan covers Lipitor? 

All Medicare drug plans have a formulary, or drug list, that shows the medications they cover and what your cost-sharing is for each type of prescription. You can check the plan’s formulary to see if it covers Lipitor or Lipitor generic. Brand-name drugs often cost more than generics, so ask your doctor if you need Lipitor or Lipitor generic Atorvastatin. The generic form of Lipitor has the same active ingredient, strength, dosage form and route of administration as brand name Lipitor, according to the Food and Drug Administration.

Are you aware that a plan’s formulary could change each year? Additionally, the formulary may change at any time. You will receive notice from your plan when necessary. This means you may want to check that the drugs you need are still covered and see if your cost-sharing has changed.

Do you have questions about Medicare coverage of Lipitor and other prescription drugs?

If you’re looking to switch Medicare plans or add Medicare coverage, I can show you what’s available in your service area. I’m happy to set aside time for a phone call or I can send you a customized email of Medicare plans that fit your needs; the links for those are below too. To start comparing Medicare Prescription Drug Plans now, click the Compare Plans buttons on this page.

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