Does Medicare Cover Regonol?

It's essential to plan how to pay for your medication if your doctor prescribes Regonol injections. Let's explore Regonal coverage through Medicare, including potential coverage restrictions and out-of-pocket costs. 

What Is Regonol?

Regonol (pyridostigmine bromide) is an injectable solution used to reverse the effects of muscle relaxants. Dosage requirements vary from person to person, but most people need between 0.1 and 0.25 milligrams per kilogram of body weight. 

You're more likely to experience side effects if you take too much of your medication. Regonol's side effects may include the following:

• Nausea and vomiting
• Twitching or cramping muscles
• Sweating
• Diarrhea
• Rash
• Blood clots

Does Medicare Cover Regonol?

Original Medicare (Parts A and B) doesn't routinely cover self-administered medications, so it's unlikely to cover Regonol unless your doctor administers it in an inpatient or outpatient setting. Medicare Part D plans may cover Regonol, although coverage varies widely between providers. 

If your insurer doesn't cover Regonol specifically, it will likely cover generic pyridostigmine or another branded alternative. You can check which medications your plan covers by checking the formulary — most list Regonol and similar drugs under Tier 2. 

How Much Does Regonol Cost With Medicare?

Medicare Part D beneficiaries must usually cover the cost of their own medication until they meet the annual deductible. Deductibles for these plans vary, but the legal limit is $545. 

The average cost for 20 milliliters of injectable Regonol solution is around $346, although you may be able to find it for less, depending on where you live. Once you've paid an amount equivalent to your plan's deductible, your insurer will cover the cost of any further prescriptions. However, you may be charged a small co-pay of roughly $1 or less. 

Does Medicare Restrict Coverage for Regonol?

Many Medicare Part D insurers offer unrestricted Regonol coverage. Therefore, they don't usually require pre-authorization or restrict how much of the drug your pharmacist can fill.