Does Medicare Cover Savella?

Christian Worstell
In this article...
  • Find out if your Medicare plan will cover the cost of Savella to treat the symptoms of fibromyalgia, and find out how it affects your out-of-pocket expenses.

If you live with fibromyalgia, the right medications can help you manage symptoms; Savella is one potential option. If you have a Medicare Part D plan, there's a chance it might help you pay for the prescription; 63% of Medicare drug plans cover Savella. Some Medicare Advantage plans also include prescription drug benefits.

What Is Savella?

Savella is one of the prescription drugs doctors use to alleviate the symptoms of fibromyalgia. It's a branded version of milnacipran HCl, a selective serotonin and norepinephrine reuptake inhibitor. Savella comes in tablet form and is only used for adults.

Fibromyalgia is a chronic condition that makes you feel pain all over your body. Savella prompts your body to create more serotonin and norepinephrine, which can help block the pain signals in your brain. As a result, you may feel less discomfort.

While Savella can help you manage fibromyalgia, it doesn't cure the condition. Given the potential side effects, doctors typically start with a smaller dose and increase it as necessary. To prevent potential drug interactions, it's important to communicate all other medications clearly. This is particularly important if you're taking MAO inhibitors, which should not usually be taken with Savella.

What's the Price of Savella With Medicare?

Savella can be an expensive medication; a single pack may cost $500 or more. If your Medicare prescription drug plan covers Savella, your costs will depend on where you fill the prescription and which coverage phase you're in. Until you hit your plan's deductible, the pharmacy will charge you the full price of the drug. Some plans have low deductibles; others have the Medicare maximum of $545 per year for 2024 ($505 in 2023).

With Savella, you're likely to meet your deductible quickly. Then, you only need to worry about the coinsurance or co-pay. Savella is usually a Tier 3 medication; your plan's formulary can tell you the tier and the co-pay amount.

After you reach $5,030 in drug costs for 2024 ($4,660 in 2023), you enter the coverage gap. At this point, you'll pay up to 25% of the price. This continues until your out-of-pocket costs hit $8,000 in 2024 (or $7,400 in 2023). Then, you're back to paying the coinsurance or co-pay until the end of the year.

Medicare Prescription Restrictions for Savella

Many Medicare prescription drug plans have coverage restrictions, which might include limits on the quantity. In some cases, your doctor may need to verify that Savella is medically necessary before your plan will provide coverage. 

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

While at HelpAdvisor, Christian has written hundreds of articles that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

Read More
Woman meets with her doctor
Explore whether Medicare Part D plans cover malathion to treat head lice, including information about ...
Holding Hands Providing Comfort
If your doctor prescribes Nardil to treat depression, you may wonder if your insurance will cover ...
Doctor smiles and talks with patient
Fenofibrate reduces the amount of cholesterol and fats in your bloodstream and can prevent pancreatitis. ...