Is Belsomra Covered By Medicaid

Does Medicare Cover Belsomra

Yes! 39% of Medicare Advantage plans and Medicare Part D plans cover Belsomra.1

• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans . Most Medicare Advantage beneficiaries are enrolled in MA-PDs.2
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Belsomra.

Find Medicare Advantage plans with drug coverage

Or call 1-800-557-6059TTY Users: 711 24/7 to speak with a licensed insurance agent.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

How Much Does Belsomra Cost Without Insurance

If youre paying for your Belsomra prescription without insurance, you should expect to pay approximately $574.07 for 1, 30 Tablets Tablet. Even if you dont have health insurance coverage, you can use SingleCare Belsomra free coupons to receive instant savings off your medications, including brand-name, generic, and over-the-counter products.

Does Belsomra Cause Weight Loss Or Weight Gain

Belsomra shouldnt cause weight loss or weight gain. Weight changes werent reported in people who took the drug in clinical studies.

A small, 14-week study looked at the use of suvorexant in people with type 2 diabetes and insomnia. This study showed that Belsomra helped improve sleep quality and reduce waist size. But the results didnt show significant weight loss.

If you have questions about changes in your weight, talk with your doctor. They may recommend ways to reach or maintain a moderate weight.

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Drugs With Special Requirements

Some drugs have special requirements that must be met before SelectHealth will cover them.

Step Therapy drugs require your provider to first prescribe alternative options that are generally more cost effective without compromising quality. Step therapy may be waived if determined to be medically necessary.Preauthorization is required for certain drugs. This process must be completed by your doctor before you fill your prescription.

If your physician believes that you require a medication that is not on your formulary, normally requires step therapy, or exceeds a quantity limit, he or she may request an exception through the preauthorization process or the drug exception process.

Use the links below to see drugs with special requirements on your formulary . The name of your formulary is included on your ID card.

How Much Does Belsomra Cost With Insurance

Your insurance plan and its coverage can affect your copay for Belsomra. Consult your pharmacist to determine your exact Belsomra cost with insurance. Keep in mind that you can also pay $350.18 for 1, 30 Tablets Tablet with SingleCare. You should compare prices at a pharmacy near you, as many of our users have reported that SingleCare prices are lower than their out-of-pocket costs with insurance.

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Belsomra Prices Coupons And Patient Assistance Programs

Belsomra is a member of the miscellaneous anxiolytics, sedatives and hypnotics drug class and is commonly used forInsomnia.

The cost for Belsomra oral tablet 5 mg is around $434 for a supply of 30, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Belsomra is available as a brand name drug only, a generic version is not yet available. View generic Belsomra availability for more details.

Cost Information For Essential And Net Results

For members on the Essential Medication List , if request for a non-formulary medication is approved, these cost levels or tiers will apply:

Essential 5 Tier = Tier 5Essential 6 Tier = Tier 6

For members on the Net Results Medication List , if the request for a non-formulary medication is approved, these cost levels or tiers will apply:

Non-specialty medication = Tier 4Specialty medication = Tier 5

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Does Belsomra Treat Anxiety

No, Belsomra isnt approved by the Food and Drug Administration to treat anxiety. Its FDA-approved to treat only insomnia in adults.

Since Belsomra was approved, some people taking the drug have reported anxiety. But it isnt known if the drug was the cause. Its possible that the anxiety was linked to sleep-related side effects such as sleep paralysis or hallucinations.*

A clinical study looked at suvorexant in hospitalized people with insomnia and mental illness. After 8 weeks of treatment, reports showed that suvorexant helped improve sleep quality and reduce the severity of anxiety. But more research is needed to evaluate the use of suvorexant for anxiety.

If you have questions about anxiety treatments, talk with your doctor.

* For more information, see Side effect details in the Belsomra side effects section above.

Branded Prescription Drug Fee Program

Section 9008 of the Affordable Care Act set forth the Branded Prescription Drug Fee Program . In general, the government drug programs specified in section 9008, including Medicaid, are required to report drug sales information to the Department of Treasury each year so that the fees can be accurately calculated.

The Secretary of the Treasury determines the amount of the fee to be paid by each manufacturer according to the manufacturers share of branded prescription drug sales to specified government programs. The specified government programs are Part B and Part D of Medicare, Medicaid, and TRICARE as well as programs operated by the Department of Veterans Affairs and the Department of Defense .

Each year, the law requires that the Secretary of Health and Human Services provide information on branded prescription drug sales for each manufacturer to the Secretary of the Treasury. The annual fees must be paid no later than September 30th of the payment year.

The Medicaid sales formula for each quarter of each BPD fee year is as follows:

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Financial And Insurance Assistance

If you need financial support to pay for Belsomra, or if you need help understanding your insurance coverage, help may available.

Merck & Co., Inc., the manufacturer of Belsomra, offers a savings coupon and a free trial offer on their drug. For more information about the savings program, see this website. And, to learn more about the free trial offer, visit this page.

Medicare Coverage Restrictions For Belsomra

Medicare insurers often impose coverage restrictions for Belsomra. The most common restriction is quantity limits, which means that your pharmacy can only fill a limited amount of your medication. This restriction may be related to Belsomra’s habit-forming potential. Prior authorization requirements are more uncommon.

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Get Help Managing Your Medications

If youre taking a number of medications prescribed by more than 1 doctor, you may be eligible to take advantage of . Through this program, you can meet 1-on-1 with a doctor or pharmacist to learn more about your medicines and how they work, ask questions about side effects or interactions with other medications and look for opportunities to lower your costs.

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National Average Drug Acquisition Cost Comparison Data

This comparison data, published on a weekly basis, identifies drug products with current NADAC rates that have been replaced with new rates since the current NADAC weekly reference file was posted. This file will not be inclusive of all new and terminated NDCs. For more information on the data fields used in the weekly comparison, please review the NADAC Week to Week Data Field Definitions.

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What Doses Of Belsomra Are Available

Belsomra is available as an oral tablet in strengths of 5 mg, 10 mg, 15 mg, and 20 mg. The usual recommended dosage is 10 mg per night. The maximum dosage is 20 mg daily.

The dosage of Belsomra may be adjusted depending on your overall condition and response to treatment. Talk to your healthcare provider before using Belsomra. Your healthcare provider may suggest different natural relaxation methods in combination with Belsomra to treat insomnia.

Is It Safe To Take Belsomra Every Night

Your healthcare provider will review your medical conditions, history, and other medications you take before prescribingBelsomra, to ensure it is safe for you to take.

Belsomra is generally safe to take every night, for as long as your healthcare provider prescribes it. However, with any medication, there is a potential for side effects. Do not take Belsomra for longer than prescribed, and do not take additional doses. Report any side effects or concerns to your provider.

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Is Belsomra Used To Treat Anxiety

Belsomra isnt used to treat anxiety. In fact, anxiety has been reported as a side effect of Belsomra since the drug was approved.

One small study showed that suvorexant helped reduce the severity of anxiety in hospitalized people with mental illness and anxiety. The drug was also found to help improve sleep quality in this study. More studies are needed to assess Belsomra for anxiety.

Talk with your doctor if you have questions about Belsomras uses or treatments for anxiety.

How To Save On Belsomra

Merck, the manufacturer of Belsomra, has a Belsomra manufacturer coupon and a limited 10-day free trial promotion. Contact Merck for more information. Merck Patient Assistance Program and Merck Connect are Belsomra patient assistance plans that also provide savings options for eligible patients who cant afford Belsomra. If you dont meet the patient assistance eligibility requirements, you can always use and reuse a Belsomra savings coupon from SingleCare.

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Drug Interactions Of Belsomra Vs Ambien

Combining alcohol with either sleep medication can be dangerous and should always be avoided. Alcohol can cause additive impairment when taken with Belsomra. Belsomra or Ambien should not be combined with other drugs that cause CNS depression, because of additive and potentially dangerous or life-threatening effects. Examples of these drugs include opioid pain medications, anti-anxiety drugs, tricyclic antidepressants, and other sedative-hypnotics.

CYP3A inhibitors increase levels of Belsomra in the body, which can lead to more side effects and toxicity. Belsomra should not be combined with medications that are classified as strong CYP3A inhibitors. Patients who take a moderate CYP3A inhibitor will need a lower dose of Belsomra . Ambien has some of the same interactions, but not all. See the chart below for details.

Strong CYP3A inducers, on the other hand, result in lower levels of Belsomra, causing Belsomra to not work as well. Ambien has the same interaction with strong CYP3A inducers.

This is not a full list of drug interactions, and other drug interactions may occur. Before taking Belsomra or Ambien, tell your healthcare provider about all of the medications you take. This includes prescription and over-the-countermeds as well as vitamins or supplements.

What Are The Side Effects Of Belsomra

Merck reports that roughly 7% of study participants experienced next-day drowsiness after taking Belsomra. Additionally, Belsomra may cause:

• Abnormal dreams
• Complex sleep behaviors like eating, walking or driving while asleep
• Sleep paralysis, a temporary inability to move or talk
• Temporary weakness of the legs

Your doctor will determine whether the risks of side effects associated with the drug outweigh its potential benefits.

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Coverage And Cost Comparison Of Belsomra Vs Ambien

With Belsomra, insurance and Medicare prescription coverage varies. A typical prescription of Belsomra 20 mg, 30 tablets can cost about $578 if you pay out of pocket. However, you can use a free SingleCare card and pay less than $360.

Ambien is usually covered by insurance and Medicare prescription plans, in its generic form, zolpidem. A typical prescription of brand-nameAmbien 10 mg, 30 tablets can cost about $715 if you pay out-of-pocket. However, you can choose the generic version, and use a free SingleCare card to pay less than $8.

Source: DailyMed , DailyMed

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Keep your medication information safe & organized.

• Track, store and manage your medication information

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Prescription prices may vary from pharmacy to pharmacy and are subject to change. The pricing estimates given are based on the most recent information and may change based on when you actually fill your prescription at the pharmacy.

< b> DISCOUNT ONLY NOT INSURANCE< /b> . Discounts are available exclusively through participating pharmacies. The range of the discounts will vary depending on the type of prescription and the pharmacy chosen. This program does not make payments directly to pharmacies. Members are required to pay for all prescription purchases. Cannot be used in conjunction with insurance. You may contact customer care anytime with questions or concerns, to cancel your registration, or to obtain further information. This program is administered by Medical Security Card Company, LLC, Tucson, AZ.

Savings

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What Should I Know About Alternatives To Belsomra Such As Belsomra Vs Ambien Lunesta Or Dayvigo

Belsomra, Ambien, Lunesta, and Dayvigo are all prescription drugs for treating insomnia in adults. Theyre all controlled substances, which means the government regulates them due to their potential for misuse or dependence.

Of these alternatives, Dayvigo is the most comparable to Belsomra. They work in a similar way in the body to treat insomnia.

Both Dayvigo and Belsomra are the most recently FDA-approved drugs for insomnia. This means theyre brand-name drugs with no currently available generic versions. Ambien and Lunesta are relatively older drugs. Theyre available as brand and generic drugs. Generic drugs tend to cost less than brand-name drugs.

For more information about how these medications compare, talk with your doctor or pharmacist.

Can Belsomra Be Misused

Belsomra is a controlled substance. The government regulates how controlled substances are prescribed and dispensed because of their potential for misuse or dependence.

Belsomra is a Schedule IV controlled substance, which means it carries a low risk of misuse or dependence.

If you have concerns about your risk for misuse or dependence with Belsomra, talk with your doctor before starting treatment.

If you have questions about taking Belsomra or other treatment options for insomnia, talk with your doctor.

Here are some example questions to help start your conversation:

• Does Belsomra show up on a drug test?
• What are my options if Belsomra isnt working for me?
• Should I continue taking my other medications with Belsomra?
• How can I tell if Im becoming dependent or addicted to Belsomra?

You can read more about the warning signs of sleep disorders, including insomnia, here.

Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

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Belsomra Vs Ambien: Differences Similarities And Which Is Better For You

Drug overview & main differences | Conditions treated | Efficacy | Insurance coverage and cost comparison | Side effects | Drug interactions | Warnings | FAQ

Insomnia is a sleep disorder that can make it difficult to fall and/or stay asleep. People with insomnia often get too little sleep, or the sleep is poor quality. According to the American Sleep Association, insomnia is the most common sleep problem. About 30% of adults experience short-term insomnia, while about 10% experience chronic insomnia that lasts a month or longer. Patients use a variety of techniques to try to improve sleep, such as taking the supplementmelatonin to regulate sleep cycles, or talking to a mental health professional with cognitive behavioral therapy. However, sometimes prescription medication is needed to address sleep problems.

Belsomra and Ambien are two brand-namesleep aid medications prescribed for the treatment of insomnia. Belsomra is made by Merck, and Ambien is made by Sanofi-Aventis. Ambien also has a generic, zolpidem, which is made by various manufacturers.

Belsomra is classified in a group of medicines called orexin receptor antagonists. Belsomraworks by blocking the action of a substance in the brain that causes wakefulness.

Ambien is classified in a group of medicines called sedative-hypnotics. Ambien works by slowing down activity in the brain to help the patient sleep.

Related: What is Belsomra | What is Ambien

View General Prescription Drug Lists

View the lists below to find general pharmacy benefits information for UnitedHealthcare plans, including certain PDLs. Remember, this is only general information. Sign in on myuhc.com or call the number on your health plan ID card to see your PDL and get specific information about your pharmacy benefits.

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Questions About Taking Belsomra

Below are some common questions about Belsomra.

• Can Belsomra be chewed, crushed, or split? No, Belsomra tablets should be swallowed whole. If you have trouble swallowing pills, check out this article for tips. Or talk with your doctor about other treatment options.
• Should I take Belsomra with food? Belsomra may be taken with or without food. But Belsomra may take longer to start working if you take it with food or right after youve eaten.
• Is there a best time of day to take Belsomra? Yes. You should take Belsomra up to 30 minutes before going to bed. Only take Belsomra if youll be able to get at least 7 hours of sleep.

Questions for your doctor

You may have questions about Belsomra and your treatment plan. Its important to discuss all your concerns with your doctor.

Here are a few tips that might help guide your discussion:

• Before your appointment, write down questions such as:
• How will Belsomra affect my body, mood, or lifestyle?

Bring someone with you to your appointment if doing so will help you feel more comfortable.

If you dont understand something related to your condition or treatment, ask your doctor to explain it to you.

Remember, your doctor and other healthcare professionals are available to help you. And they want you to get the best care possible. So dont be afraid to ask questions or offer feedback on your treatment.