Linezolid (Zyvox) Medicare Coverage

Linezolid is a medication used to treat infections such as pneumonia, skin infections and infections due to bacteria called Enterococcus faecium. It works by stopping the bacteria from replicating in the body, which stops the spread of infection and allows it to heal.

The brand name equivalent of Linezolid is called Zyvox. It is typically given twice daily for up to 3 weeks if needed.

Common side effects of Linezolid include headache, upset stomach, vomiting and diarrhea.

How much does Linezolid cost with Medicare?

Linezolid coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Linezolid?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Linezolid in 2023.¹

• Medicare Advantage plans or Part D plans that cover Linezolid include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Linezolid. We represent carriers such as Humana, Aetna, UHC, Anthem BCBS, Wellcare, Cigna Healthcare, and Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

While taking Linezolid, consuming some food and drinks (such as cheese or red wine) can cause sudden and severe high blood pressure. Make sure you talk to your doctor about this risk and know what food and drinks you should avoid.

Signs of high blood pressure include dizziness, headache, passing out or changes in eyesight.

Linezolid may increase the amount of acid in your blood. Contact your doctor if you experience abnormal heartbeat, rapid breathing, upset stomach, shortness of breath or muscle pain or cramps.

Linezolid can also lower some blood counts and raise your risk of infection. Signs of infection include fever, chills or sore throat.

Don’t take Linezolid for longer than you have been directed by your doctor, as this can lead to a second infection that involves severe diarrhea.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.