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Can Medicare Help with the Cost of Tyrvaya?

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By Daniel Petkevich
Jan 12, 2023

Most plans don't cover this nasal spray

Tyrvaya is one of the more unique prescription treatments for dry eyes available. Rather than eye drops, this solution comes in the form of a nasal spray. Unfortunately, most Medicare plans do not offer coverage for Tyrvaya. Keep reading to see what other options you have when seeking treatment for dry eyes.

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Overview of Medicare Part D Coverage

Medicare Part D

is a prescription drug coverage plan that helps you pay for medications. It's available to anyone enrolled in Original Medicare (Parts A and B). The cost of Part D coverage is included in their premium payments for most people.

What is Tyrvaya and How Does it Work?

Tyrvaya is a prescription nasal spray used to treat dry eyes. Many other medications might have dry eyes as a symptom, so consult your doctor about whether Tyrvaya is suitable for you. The nasal spray works by increasing tear production in the eyes, which helps relieve dryness and discomfort.
Regarding Medicare Part D coverage, Tyrvaya is generally not covered by most plans. It's essential to check with your provider before purchasing any medications. They can provide you with the most up-to-date information.

What are the Benefits of Taking Tyrvaya?

Taking Tyrvaya can help improve your eyesight by reducing dryness and discomfort. It can also reduce the frequency and severity of dry eye symptoms, such as blurry vision or redness. Additionally, it can treat other common problems associated with dry eyes, such as burning sensations or difficulty keeping them open.

How Much Does Tyrvaya Cost?

This medication can be costly since you're typically paying out-of-pocket. According to

GoodRx, the cost of Tyrvaya can be $681

on average. You can speak with your doctor and pharmacist about whether there are any similar treatments for dry eyes that might be covered by Medicare. You might also find discounts by checking with Extra Help in your area. To see if your Medicare Part D plan is one of the few that covers Tyrvaya, you should check your plan's formulary. You might also speak with a customer service representative for your Medicare plan provider for more plan information.

Are There Any Other Costs Associated With Taking Tyrvaya?

There may be additional costs associated with taking Tyrvaya. For example, you may need to pay for medical appointments and tests related to your treatment. You might also have additional charges for any medications needed to treat the nasal spray's side effects. Be sure to speak with your doctor about what costs you can expect when taking Tyrvaya.

Where to Get More Information About Tyrvaya and Medicare Part D Coverage

If you have any questions about Tyrvaya or Medicare Part D coverage, be sure to speak with your doctor. Additionally, you can contact the customer service team of your Medicare plan provider for more information on costs and eligibility. You can also refer to GoodRx for more details on prescription drug prices.

Takeaway

In conclusion, Tyrvaya is an effective prescription nasal spray used to treat dry eyes. It may not be covered by most Medicare Part D plans, so it's important to research your plan and speak with your doctor and pharmacist before purchasing any medications. Although the cost of Tyrvaya can be expensive, there might be other treatment options for you. This content is for informational purposes only. For all your Medicare questions, talk with an expert at Fair Square.

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Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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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

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