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why does medicare not cover ic promethazine tablets 25 mg?

by Burdette Strosin I Published 3 years ago Updated 2 years ago

What are the contraindications for promethazine hydrochloride tablets?

Promethazine dm is an inexpensive drug used to treat nasal congestion, allergic rhinitis, cold symptoms, and other conditions.It is more popular than comparable drugs. Promethazine is only available as a generic drug; all brands have been discontinued. Generic promethazine dm is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices …

Does promethazine hydrochloride lower seizure threshold?

Medicare does not cover: Drugs used to treat anorexia, weight loss, or weight gain. Note: Part D may cover drugs used to treat physical wasting caused by AIDS, cancer, or other diseases. Fertility drugs. Drugs used for cosmetic purposes or hair growth. Note: Drugs used for the treatment of psoriasis, acne, rosacea, or vitiligo are not ...

Is there a generic version of promethazine?

The plan rules require Mr. Mason to use a lower-cost ACE inhibitor first. For most people, the lower-cost drug works as well as the higher-cost drug. Step 2 —If Mr. Mason takes the lower …

Is promethazine safe for a 2 year old?

Drug efficacy study implementation (DESI) drugs (drugs the FDA has determined to be safe but not effective) Bulk chemicals in the following STCs: U6I, U6Q, U6U, U6W, and U6X Bulk …

Is Promethazine DM covered by Medicare?

Do Medicare prescription drug plans cover promethazine DM? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.

Is Phenergan covered by insurance?

Generic promethazine is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower.

Is there an over the counter version of promethazine?

Promethazine is an antihistamine sometimes used as a sleeping pill. It is also known by the trade names Phenergan and Sominex. It's available to buy without a prescription from a doctor.

What category does promethazine fall under?

Promethazine is in a class of medications called phenothiazines. It works by blocking the action of a certain natural substance in the body.

What drugs are not covered by Medicare?

Medicare does not cover:Drugs used to treat anorexia, weight loss, or weight gain. ... Fertility drugs.Drugs used for cosmetic purposes or hair growth. ... Drugs that are only for the relief of cold or cough symptoms.Drugs used to treat erectile dysfunction.More items...

What medications are covered by Medicare Part B?

Drugs that are covered by Medicare Part B include the following.Certain Vaccines. ... Drugs That Are Used With Durable Medical Equipment. ... Certain Antigens. ... Injectable Osteoporosis Drugs. ... Erythropoiesis-Stimulating Agents. ... Oral Drugs for ESRD. ... Blood Clotting Factors. ... Immunosuppressive Drugs.More items...•

What is promethazine hydrochloride 25mg for?

Promethazine is used to treat allergy symptoms such as itching, runny nose, sneezing, itchy or watery eyes, hives, and itchy skin rashes. It also prevents motion sickness, and treats nausea and vomiting or pain after surgery. It is also used as a sedative or sleep aid.

Is Phenergan the same as promethazine?

Promethazine is the generic name for the brand name antihistamine Phenergan. Promethazine is used for treating allergic reactions and nausea and vomiting, and to sedate patients undergoing surgery or who are giving birth. Some of its characteristic side effects include dizziness and drowsiness.

How much promethazine can you take a day?

Adults and teenagers—12.5 milligrams (mg) before meals and at bedtime; or 25 mg at bedtime as needed. Children 2 years of age and older—Your doctor will determine dose based on the weight and/or size of the child. The dose is usually 6.25 to 12.5 mg three times a day; or 25 mg at bedtime as needed.

What is the donut hole in Medicare?

In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug. In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.

What is the deductible stage of a drug?

In the Deductible stage, you may be responsible for the full cost of your drug.

Does Medicare cover post donut holes?

In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.

What is the post deductible stage?

After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost. In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug.

Does Medicare cover prescription drugs?

No. In general, Medicare prescription drug plans (Part D) do not cover this drug. Be sure to contact your specific plan to verify coverage information. A limited set of drugs administered in a doctor's office or hospital outpatient setting may be covered under Medical Insurance (Part B).

Is Medicare price accurate?

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of April 2020 and the information may be updated. If you encounter any issues, please let us know .

What is a fertility drug?

Fertility drugs. Drugs used for cosmetic purposes or hair growth. Note: Drugs used for the treatment of psoriasis, acne, rosacea, or vitiligo are not considered cosmetic drugs and may be covered under Part D. Drugs that are only for the relief of cold or cough symptoms. Drugs used to treat erectile dysfunction.

Does Medicare cover AIDS?

There are certain kinds of drugs that are excluded from Medicare coverage by law. Medicare does not cover: Note: Part D may cover drugs used to treat physical wasting caused by AIDS, cancer, or other diseases.

Does Medicare cover non-cancer drugs?

If your doctor prescribes a non-cancer medication on your plan’s formulary for a reason other than the use approved by the FDA, your drug will probably not be covered unless the use is listed in one of three Medicare-approved drug compendia (medical encyclopedias of drug uses). For fighting cancer, your drug plan will draw from these and additional compendia and peer-reviewed medical literature when deciding whether to cover a drug.

Is a cold covered by Part D?

For example, a medicine for the relief of cold symptoms may be covered by Part D if prescribed to treat something other than a cold —such as shortness of breath from severe asthma—as long as it is approved by the U.S. Food and Drug Administration (FDA) for such treatment.

What is the purpose of a prescription drug safety check?

When you fill a prescription at the pharmacy, Medicare drug plans and pharmacists routinely check to make sure the prescription is correct, that there are no interactions, and that the medication is appropriate for you. They also conduct safety reviews to monitor the safe use of opioids ...

How long can you have opioids on Medicare?

First prescription fills for opioids. You may be limited to a 7-day supply or less if you haven’t recently taken opioids. Use of opioids and benzodiazepines at the same time.

Does Medicare require prior authorization?

Your Medicare drug plan may require prior authorization for certain drugs. . In most cases, you must first try a certain, less expensive drug on the plan’s. A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a drug list.

Can you waive prior authorization for Medicare?

During the COVID-19 pandemic, Medicare Advantage Plans and Prescription Drug Plans may waive or relax prior authorization requirements. Check with your plan for more information. You and/or your prescriber must contact your plan before you can fill certain prescriptions.

Does Medicare cover opioid pain?

There also may be other pain treatment options available that Medicare doesn’t cover. Tell your doctor if you have a history of depression, substance abuse, childhood trauma or other health and/or personal issues that could make opioid use more dangerous for you. Never take more opioids than prescribed.

Does Medicare cover acupuncture?

Talk with your doctor about other options that Medicare covers to treat your pain, like non-opioid medications and devices, physical therapy, acupuncture for lower back pain, individual and group therapy, behavioral health integration services, and more.

Can you appeal a Medicare drug plan decision?

You and your doctor can appeal if you disagree with your plan’s decision or think the plan made a mistake. Note.

Does Medicare cover scooters?

Equipment mainly intended to help you outside the home. For example, if you can walk on your own for short distances–enough to get around your house–Medicare does not cover a motorized scooter that you only need outside the home.

Does Medicare cover DME equipment?

Keep in mind that Medicaid may cover some forms of equipment that Medicare will not cover. To find out if Medicare covers the equipment or supplies you need, or to find a DME supplier in your area, call 1-800-MEDICARE or visit www.medicare.gov.

How long does promethazine last?

Clinical effects are apparent within 20 minutes after oral administration and generally last four to six hours, although they may persist as long as 12 hours. Promethazine is metabolized by the liver to a variety of compounds; the sulfoxides of promethazine and N-demethylpromethazine are the predominant metabolites appearing in the urine.

What is Promethazine Hydrochloride used for?

Promethazine hydrochloride tablets are useful for: Perennial and seasonal allergic rhinitis. Vasomotor rhinitis. Allergic conjunctivitis due to inhalant allergens and foods. Mild, uncomplicated allergic skin manifestations of urticaria and angioedema. Amelioration of allergic reactions to blood or plasma. Dermographism.

Can promethazine cause death?

Excessively large dosages of antihistamines, including promethazine hydrochloride tablets, in pediatric patients may cause sudden death (see OVERDOSAGE ). Hallucinations and convulsions have occurred with therapeutic doses and overdoses of promethazine in pediatric patients.

Is promethazine HCl a neuroleptic?

A potentially fatal symptom complex sometimes referred to as Neuroleptic Malignant Syndrome (NMS) has been reported in association with promethazine HCl alone or in combination with antipsychotic drugs. Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis and cardiac dysrhythmias).

Is promethazine HCl safe for bone marrow?

Promethazine hydrochloride tablets should be used with caution in patients with bone-marrow depression. Leukopenia and agranulocytosis have been reported, usually when promethazine HCl has been used in association with other known marrow-toxic agents.

Can promethazine be used for sleep apnea?

Use of promethazine hydrochloride tablets in patients with compromised respiratory function (e.g., COPD, sleep apnea) should be avoided.

Does Promethazine affect driving?

Promethazine hydrochloride tablets may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a vehicle or operating machinery. The impairment may be amplified by concomitant use of other central-nervous-system depressants such as alcohol, sedatives/hypnotics (including barbiturates), narcotics, narcotic analgesics, general anesthetics, tricyclic antidepressants, and tranquilizers; therefore such agents should either be eliminated or given in reduced dosage in the presence of promethazine HCl (see PRECAUTIONS-Information for Patients and Drug Interactions ).

What is Promethazine used for?

Promethazine oral tablet is used to treat several conditions, such as allergies, motion sickness, nausea and vomiting, anxiety before surgery, and pain after surgery. It’s also used as a sleep aid, including before and after surgery.

What to do if you have serious side effects?

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

Is Promethazine safe to take?

Promethazine is used for short-term treatment. It comes with risks if you don’t take it as prescribed.

Can you give Promethazine to a pregnant woman?

This drug should not be given to a pregnant woman within 2 weeks of delivery because it raises the risk of bleeding in the newborn. For women who are breastfeeding: Promethazine may pass into breast milk and may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child.

Can you drink alcohol while taking Promethazine?

Drinking alcohol can make drowsiness from promethazine more extreme and last longer. To avoid this, don’t drink alcohol while you’re taking this drug.

Does promethazine cause drowsiness?

When you take certain nausea and motion sickness drugs with promethazine, certain side effects may increase and last longer. These side effects include dry mouth, constipation, trouble emptying your bladder, blurred vision, and drowsiness. Examples of these drugs include:

Does promethazine cause eye twitching?

If you take certain antidepressant drugs called monoamine oxidase inhibitors (MAOIs) with promethazine, you raise your risk of extrapyramidal symptoms. These symptoms include uncontrollable upward staring, eye and lid twitching, uncontrollable neck muscle contractions (causing your head to twist or turn to one side), and sticking out your tongue uncontrollably.

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