Exforge (Amlodipine/Valsartan) Medicare Coverage

Exforge is a medication used to treat people with high blood pressure. It contains a combination of two medications including amlodipine and valsartan. Exforge works to help your blood vessels relax, which lowers your blood pressure.

Exforge is taken once daily, but your dose depends on how your blood pressure responds to the medication.

Exforge is typically well tolerated but can cause dizziness, nose and throat irritation and signs of a common cold.

How much does Amlodipine/Valsartan cost with Medicare?

Amlodipine/Valsartan 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 Amlodipine/Valsartan?

According to GoodRx, 96% of Medicare Advantage plans and Medicare Part D plans covered Amlodipine/Valsartan, the generic form of Exforge, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Amlodipine/Valsartan 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 Amlodipine/Valsartan. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or 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

The medications contained in Exforge help reduce your blood pressure, which ultimately reduces your risk of heart attack, stroke and other forms of heart disease.

Continue to take Exforge as directed, even if you feel fine. If you stop taking Exforge too early, you may not get the full heart benefit of the medication. This medication works best with a heart healthy lifestyle including a healthy diet, low sodium intake and exercise.

Talk to your doctor if you experience signs of high potassium while taking Exforge such as abnormal heartbeat, confusion, weakness, dizziness, fainting, numbness or shortness of breath.

Kidney and liver problems can also occur while taking Exforge. Tell your doctor if you experience changes in urination, blood in your urine, yellow skin or eyes or noticeable weight gain.

Use of Exforge during pregnancy can cause birth defects or loss of the pregnancy. If you are pregnant or plan on getting pregnant, talk to your doctor to determine if Exforge is right for you.

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.