Prograf (Tacrolimus) Medicare Coverage

Prograf is a medication that contains the active ingredient Tacrolimus. It is used to prevent rejection of transplanted organs after operations such as heart, kidney and liver transplants.

Prograf works by blocking T cell function of the immune system so that it doesn’t attack the new organ. It is typically taken twice daily, but extended-release formulations may only be taken once daily.

Common side effects of Prograf include fatigue, dizziness, headache, constipation, diarrhea, upset stomach, heartburn, insomnia, back pain and nose or throat irritation.

How much does Tacrolimus cost with Medicare Advantage plans?

Metoclopramide 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 Advantage cover Tacrolimus?

According to GoodRx, 98% of Medicare Advantage plans and Medicare Part D plans covered Tacrolimus, the generic form of Prograf, in 2023.¹

Medicare Advantage plans or Part D plans that cover Tacrolimus 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 Tacrolimus. 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

Prograf can increase your risk of getting cancer like lymphoma or skin cancer. Have your skin checked regularly and let the doctor know if you develop a new wart, skin sore, red bumps that bleed or don’t heal or a change in color or size of a mole.

Talk to the doctor if you experience a swollen gland, night sweats, shortness of breath or unintentional weight loss.

Prograf can also increase your risk of serious infections. Prograf weakens your immune system, which makes you vulnerable to infection. Signs of infection can include fever, chills, flu-like symptoms, sore throat or cough.

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.