Does Medicare Cover Ketoconazole?
- Ketoconazole is a topical prescription medication used to treat fungal infections on various parts of the body. Learn whether Medicare covers ketoconazole.
Prescribed to treat fungal infections, such as athlete's foot and ringworm, ketoconazole is a topical medication usually dispensed in cream form. According to GoodRx.com, all Medicare prescription drug plans provide coverage for ketoconazole. Read on to learn more about this drug and the potential out-of-pocket costs.
What is Ketoconazole Used For?
Available as a cream or shampoo, ketoconazole is a topical medication that treats certain types of fungal infections. This drug works by killing the yeast causing the fungal infection. It's generally prescribed for short-term use (up to 8 weeks). Fungal infections that don't respond to ketoconazole treatment require additional review from a doctor to explore other treatment options.
Ketoconazole Side Effects
Because it's a topical medication, ketoconazole's side effects involve the site where applied. Side effects may include itching or stinging at the application site, dry skin or changes in hair texture. Uncommon, but serious, side effects include rash, hives or warmth and redness at the application site. The presence of these symptoms requires immediate medical attention.
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How Much Does Ketoconazole Cost With Medicare?
Ketoconazole is a generic drug otherwise available under the brand names Nizoral, Ketodan and Extina. Generic ketoconazole is typically offered on Tier 2 of Medicare prescription drug plans, which has a lower cost than the brand alternatives. GoodRx.com reports Medicare cost shares for ketoconazole vary depending on your current drug coverage stage, but typically range from $0-$35 for a 30-day supply.
Does Medicare Cover Ketoconazole Purchased Over the Counter?
Ketoconazole is available without a prescription in cream and shampoo forms. Medicare prescription drug (Part D) plans don't cover drugs purchased over the counter. Some Medicare Advantage plans may offer enhanced benefits that include OTC products; however, costs associated with OTC products won't apply to Part D deductibles or annual out-of-pocket maximums.
As with all OTC products, it's important to discuss with your health care provider whether this type of ketoconazole is an appropriate alternative to the prescription drug. Beneficiaries may find that cost assistance with prescription drugs results in fewer out-of-pocket costs when choosing prescription ketoconazole.
