Does Medicare Cover Linzess?

Medicare Benefits Solutions
Jan 4, 2021

Linzess is a prescription medication that patients may get if they have a history of suffering from types of bowel disorders. Examples of these disorders include perpetual constipation without a known cause, or irritable bowel syndrome with constipation. The generic name for this drug is Linacoltide, and many people with bowel disorders who have Medicare benefits wonder if it’ll pay for it. 

Understanding Linzess

Chronic idiopathic constipation and IBS have symptoms that come with them, including feeling like you had an incomplete bowel movement, abdominal pain, and bloating. This medication works to raise the fluid levels in your intestines, and this can push the food through your system faster. In turn, this can alleviate your symptoms. You’ll typically take this medication once per day, but your doctor will give you a schedule. 

Seniors and Constipation

Many Medicare recipients complain about constipation, and the number of people who have it seems to go up as they age. Among people 65 years old, over 20% of women and over 10% of men report experiencing it. When you get over 80 years old, this number goes up to over 30% for women and 20% for men. For long-term residents, this percentage easily tops 80%. 

To help avoid problems with constipation as you get older, you may find yourself shifting toward a well-balanced diet that has good sources of fiber like beans, vegetables, and carbohydrates from whole grains. Drinking less caffeine and more water while adding regular exercise to your routine can help too. It’s a good idea to talk to your nutritionist or primary care doctor to find out if switching your lifestyle habits can help with your constipation levels. 

Find a new Medicare plan

Get recommendations based on what's important to you, and compare them to your existing plan.

Medicare Benefits and Linzess

All Medicare recipients have access to drug coverage under Medicare Part D. You can choose to enroll in a Medicare Prescription Drug Plan if you have Original Medicare as an add-on. But, you have to enroll in Part A and/or Part B first. 

You could also choose an alternative to Original Medicare and sign up for a Medicare Advantage plan. This plan is usually all-inclusive for the same coverage you’d get under Part A, Part B, and Part D. Part D does vary in coverage for Medicare Advantage plans based on your plan and your location. If you plan to move, you should get in touch with your plan administrator and make sure that the same benefits will carry over to your new location. Almost all Part D and Medicare Advantage plans will cover the cost of Linzess.

Every plan categorizes its drugs in tiers. Medicare usually puts Linzess at a Tier 3 drug. This means that the Medicare recipient’s total cost will depend on several factors. These factors include whether or not your pharmacy is in-network, the drug tier Linzess is on under your plan, the plan deductible, and whether or not you buy it using a bulk mail-order system. 

This is a slightly more expensive drug as there are no generics available for it yet. You can expect to pay around $475 for a supply of 30 72-milligram capsules. This price will fluctuate depending on the pharmacy you visit. This price is for people who pay with cash or a credit card with no insurance. Once you satisfy your deductible under Medicare, you can expect to pay between $2 and $20 for your copay.

Got questions?

Call a licensed sales agent at

877-406-1753 or TTY 771

Mon – Fri 5am – 6pm PT | Sat 5am – 5pm PT | Sunday   Closed

Send us a message

We aim to reply within 24 hours.

    Medicare Benefits Solutions is a non-government website. This is a solicitation for insurance. By submitting information on this site, I am providing my written consent for Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its sales agents, or affiliates to contact me (even if I’m on a state or national do not call registry) at the phone number or email address listed to provide me with quotes or information about Medicare Advantage, Medicare Supplement, and Medicare Part D plans. I further consent to such calls or texts sent via autodialer, automated technology, prerecorded message and/or artificial voice. I understand my consent is not a condition of purchase and that I can revoke my consent at any time via Additional charges may apply to SMS, call, or Internet usage depending on your data providers.

    Find a plan

    Get plan recommendations

    Compare your current Medicare plan to our recommendations – then choose the plan that gives you more of the things you want.

    Find a new Medicare plan

    Click here to find out more

    Get a plan recommendation based on what's important to you.