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Does medicare cover rasagiline?

See the DrugPatentWatch profile for rasagiline

Short answer:
Yes—Rasagiline is a prescription drug that is usually covered under Medicare Part D (or by the drug‑coverage portion of a Medicare Advantage plan). Whether you’ll pay any copay, how much it will be, and whether you’ll get the generic or a brand name depend on the specific Part D plan (or Medicare Advantage plan) you’re enrolled in and that plan’s formulary.


What Medicare Covers

Medicare component What it covers How it applies to Rasagiline
Part A (Hospital Insurance) Inpatient hospital stays, skilled nursing, hospice No coverage for prescription drugs
Part B (Medical Insurance) Outpatient services, labs, medical equipment No coverage for oral prescription drugs
Part D (Prescription Drug Coverage) All outpatient prescription drugs Covers Rasagiline, including the generic, under the plan’s formulary
Medicare Advantage (Part C) An alternative to Original Medicare that bundles Part A, Part B, and Part D benefits Usually has its own formulary that includes Rasagiline; coverage depends on the specific plan

How to Find Out if Your Plan Covers Rasagiline

  1. Check your Part D plan’s formulary

    • Log in to the plan’s website (you’ll need your member ID).
    • Look for a “Drug Formulary” or “Prescription Drugs” section.
    • Search for “rasagiline” (generic) or “Azilect” (brand name).
    • The formulary will list the drug’s tier and any special requirements (e.g., prior authorization).
  2. Use the Medicare “Plan Finder”

    • Visit medicare.gov and use the “Find a prescription drug plan” tool.
    • Enter your ZIP code and the drug name.
    • The results show which Part D plans list Rasagiline and the cost (copay, coinsurance, or deductible) for each tier.
  3. Call your plan’s customer service

    • The plan’s toll‑free number is listed on the back of your Medicare card or on their website.
    • Ask: “Does my plan cover rasagiline? If so, is it generic? What tier is it on?”
  4. Talk to your pharmacist

    • Pharmacists can often look up a patient’s formulary status on the phone.
    • They can also let you know if the plan has any “prior‑authorization” or “step‑therapy” requirements.

What You Might See on the Formulary

Tier Typical Copay Notes
Tier 1 (Preferred) $0–$10 Usually the generic form (Rasagiline 1 mg).
Tier 2 (Preferred) $10–$30 Generic or lower‑cost brand.
Tier 3 (Preferred) $30–$70 Brand‑name Azilect or higher‑dose formulations.
Tier 4 (Specialty) $70+ Very high cost; usually not applicable to Rasagiline unless the plan classifies it as specialty.
Coverage Gap (“Donut Hole”) Variable After you reach the coverage gap, you’ll pay a larger share until you hit the “Catastrophic” phase.

Tip: If your plan places Rasagiline on a higher tier, the generic may be cheaper. If the generic is not on the formulary at all, you can ask your prescriber or pharmacist to request “prior authorization” or a “step‑therapy” order.


What Happens If It’s Not Covered

  • Out‑of‑Pocket Payment – If the plan does not cover Rasagiline, you’ll have to pay the full pharmacy price.
  • Specialty Drug Assistance – Some manufacturers run patient assistance programs for patients who can’t afford the medication.
  • Alternate Medicare Part B – Not applicable for Rasagiline because it’s an oral prescription drug; Part B does not cover it.

Next Steps

  1. Check your plan’s formulary (online or by phone).
  2. Confirm the drug tier and copay.
  3. Ask your prescriber or pharmacist if you need any prior‑authorization paperwork.
  4. If you’re not covered, explore:
    • Switching to a different Part D plan at your next Open Enrollment period (Oct 15–Jan 31).
    • Manufacturer assistance programs.
    • Non‑Medicare assistance programs (e.g., local charities, disease‑specific foundations).

Disclaimer:
This information is for general educational purposes only. It is not medical advice and does not replace a conversation with your prescriber, pharmacist, or a Medicare benefits counselor. For personalized coverage details, consult your specific Medicare plan documentation or contact the plan’s member services.



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