Regardless of your ailments or your Medicare plan, no one should have to go through life in pain. Qutenza is an option for those seeking topical relief from nerve pain. Unfortunately, the cost for Qutenza can be about $987 according to GoodRx
Qutenza is a prescription topical and transdermal patch-based medication used to manage pain associated with postherpetic neuralgia, diabetic neuropathy of the feet, and peripheral neuropathic pain due to a variety of conditions. It contains 8% capsaicin and helps reduce the intensity of intermittent burning and shooting pains.
For those who have Medicare Part D, coverage of Qutenza is unlikely. However, you may be able to get reimbursement if your doctor prescribes the drug and your pharmacy accepts Medicare. You should contact your plan administrator for more information.
If you do not have Medicare Part D or don't qualify for reimbursement, you may still be able to find financial assistance programs that can help make Qutenza more affordable. For example, there are patient assistance programs available through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid. You can also ask your doctor if they offer any payment plans or if they have samples of the drug to give you.
Medicare Part D
Medicare Part D does not typically cover Qutenza, as it is a non-traditional medication. Other medications and treatments not covered by Part D include over-the-counter drugs, herbal remedies, vitamins and supplements, cosmetic procedures, experimental treatments or drugs. There might be some pain relief prescriptions that will be approved on your Part D plan. Consult with your doctor about finding an appropriate substitute for Qutenza, and check your Part D formulary to see what be covered. The above does not constitute medical advice; this content is for informational purposes only.
If you don’t have insurance coverage for Qutenza, there are still some options to help make the drug more affordable. Talk to your doctor about any payment plans or samples they might offer. Additionally, you can look into patient assistance programs offered through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid.
When considering the cost of Qutenza or other treatments for chronic pain relief, it’s important to do your research and talk to your doctor about the best option for you. Some questions Medicare beneficiaries might have about Qutenza include the following:
Will Medicare Part D help cover the cost of Qutenza?
What if I don’t have Medicare Part D or don’t qualify for reimbursement?
Are there any financial assistance programs available to help cover the cost of Qutenza?
Does any other insurance plan cover Qutenza?
To answer these, you might consult with your doctor, pharmacist, or insurance plan provider. You may find that there are more affordable alternatives than Qutenza, such as over-the-counter medications or lifestyle changes. Be sure to speak with your doctor about any concerns regarding the treatments for chronic pain relief.
Medicare Part D plans do not generally cover Qutenza. However, you may be able to get reimbursement if your doctor prescribes the drug and your pharmacy accepts Medicare. Additionally, there are patient assistance programs available through the manufacturer of Qutenza and other organizations that may provide discounts or financial aid. Be sure to do your research and talk to your doctor about the best option for you. This content is for informational purposes only. It does not constitute medical advice and should not be used as a substitute for professional medical advice. If you have questions about Medicare, talk to an expert at Fair Square
Does Medicare Cover Light Therapy for Psoriasis?
Jan 17, 2023
Is the Shingles Vaccine Covered by Medicare?
Nov 17, 2022
Medicare Consulting Services
Apr 3, 2023
Can Medicare Advantage Plans be Used Out of State?
Jun 12, 2023
Is Emsella Covered by Medicare?
Nov 21, 2022
What Is a Medicare Advantage POS Plan?
May 10, 2023
Does Medicare Cover Macular Degeneration?
Nov 30, 2022
Medicare Guaranteed Issue Rights by State
Feb 10, 2023
Does Medicare Cover Exercise Physiology?
Jan 11, 2023
Does Medicare Cover Linx Surgery?
Dec 6, 2022
How Medicare Costs Can Pile Up
Oct 11, 2022
How Often Can I Change Medicare Plans?
May 5, 2023
The Fair Square Bulletin: October 2023
Oct 2, 2023
How Can I Get a Replacement Medicare Card?
Aug 14, 2023
What Are Medicare Part B Excess Charges?
Jan 6, 2023
Does Medicare Cover Service Animals?
Nov 29, 2022
Does Medicare Cover Cardiac Ablation?
Dec 9, 2022
Does Medicare Cover TENS Units?
Nov 23, 2022
10 Top Medicare Supplement (Medigap) Companies for 2025
20 Questions to Ask Your Medicare Agent
2024 Fair Square Client Retention and Satisfaction Report
2024 Fair Square NPS Report
2025 Medicare Price Changes
Can I Change My Primary Care Provider with an Advantage Plan?
Can I Have Two Primary Care Physicians?
Do All Hospitals Accept Medicare Advantage Plans?
Do Medicare Supplement Plans Cover Dental and Vision?
Do You Need Books on Medicare?
Does Medicare Cover Abortion Services?
Does Medicare Cover an FMT?
Does Medicare Cover Bladder Sling Surgery?
Does Medicare Cover Cervical Disc Replacement?
Does Medicare Cover Compounded Medications?
Does Medicare Cover Cosmetic Surgery?
Does Medicare Cover COVID Tests?
Does Medicare Cover Disposable Underwear?
Does Medicare Cover Driving Evaluations?
Does Medicare Cover Fosamax?
Does Medicare Cover Geri Chairs?
Does Medicare Cover Hoarding Cleanup?
Does Medicare Cover Home Heart Monitors?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Inspire for Sleep Apnea?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Lipoma Removal?
Does Medicare Cover Nexavar?
Does Medicare Cover Scleral Lenses?
Does Medicare Cover SIBO Testing?
Does Medicare Cover Stair Lifts?
Does Medicare Cover the Urolift Procedure?
Does Medicare Cover Tymlos?
Does Medicare Cover Urodynamic Testing?
Does Medicare Cover Wart Removal?
Does Medicare Have Limitations on Hospital Stays?
Does Medicare Pay for Allergy Shots?
Does Medicare Pay for Bunion Surgery?
Fair Square Bulletin: We're Revolutionizing Medicare
Finding the Best Dental Plans for Seniors
How Are Medicare Star Ratings Determined?
How Do Medigap Premiums Vary?
How Does Medicare Cover Colonoscopies?
How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?
How is Medicare Changing in 2025?
How Much Does a Medicare Coach Cost?
How Much Does a Pacemaker Cost with Medicare?
How Much Does Medicare Part A Cost in 2025?
How Much Does Medicare Part B Cost in 2025?
How Much Does Trelegy Cost with Medicare?
How to Become a Medicare Agent
How to Choose a Medigap Plan
How to Deduct Medicare Expenses from Your Taxes
How to Enroll in Social Security
Is Balloon Sinuplasty Covered by Medicare?
Is Displacement Affecting Your Medicare Coverage?
Medicare 101
Medicare Deductibles Resetting in 2025
Medicare Savings Programs in Kansas
Medicare Supplement Plans for Low-Income Seniors
Medigap Plan N vs. Plan G — Which One Fits You in 2025?
Moving? Here’s What Happens to Your Medicare Coverage
Plan G vs. Plan N
Saving Money with Alternative Pharmacies & Discount Programs
Seeing the Value in Fair Square
Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires
What is a Medicare Beneficiary Ombudsman?
What is the Medicare ICEP?
What People Don't Realize About Medicare
Which Medigap Policies Provide Coverage for Long-Term Care?
Will Medicare Cover Dental Implants?
Will Medicare Cover it?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M
Fair Square Medicare