Does Medicare Cover Buspirone?

Christian Worstell
In this article...
  • Buspirone controls anxiety and has fewer side effects than other antianxiety medications. Keep reading to find out if Medicare covers this medication.

Buspirone reduces anxiety, so it's a common treatment for generalized anxiety disorder (GAD). It's especially useful for people who don't respond to selective serotonin reuptake inhibitors (SSRIs) and people who experience reduced libido and other sexual side effects while using SSRIs.

If your doctor prescribes buspirone, it's important to know whether it's covered by Medicare and how much you can expect to pay if it is. Here's what you need to know about buspirone Medicare coverage.

Information About Buspirone

Buspirone is FDA-approved for the treatment of generalized anxiety disorder and short-term relief of anxiety symptoms. It was originally developed as an antipsychotic, but pharmaceutical researchers discovered that it worked better as an antianxiety medication.

Is Buspirone a Good Medication for Anxiety?

Buspirone is considered a good medication for anxiety because it has fewer side effects than some of the other medications used to treat GAD. Another benefit of buspirone is that it isn't habit-forming like barbiturates and benzodiazepines. This is because buspirone doesn't affect the γ-Aminobutyric acid (GABA) receptors in the brain.

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Medicare Coverage Rules for Buspirone

All Medicare prescription drug plans cover buspirone, increasing access to this important drug. Most plans include buspirone in Tier 1 of their formularies, limiting your out-of-pocket costs, even if you're in the Medicare donut hole or haven't met your deductible yet.

Depending on the terms of your plan, you may need to obtain prior authorization before Medicare covers the cost of buspirone. Your plan may also have other coverage requirements, such as trying another medication before you're approved for buspirone coverage.

How Much Does Buspirone Cost With Medicare?

The cost of buspirone depends on which Medicare plan you have and whether you've met your deductible yet. For 2024, the maximum Medicare prescription drug deductible is capped at $545. Some plans have deductibles of just a few dollars per year, so you may pay much less for your buspirone, even if you haven't met your deductible yet. Once you pay your deductible, you're in the co-pay stage. You'll have to pay a flat fee or a percentage of the cost for each prescription you fill.

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

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