Turning 65 and navigating Medicare coverage for migraine medications can be really frustrating, especially when something is working well. Here are some steps that may help:
- Talk to your neurologist or headache specialist — They can help navigate the insurance process, appeal denials, or document that other medications Show Full Answer
Turning 65 and navigating Medicare coverage for migraine medications can be really frustrating, especially when something is working well. Here are some steps that may help:
- Talk to your neurologist or headache specialist — They can help navigate the insurance process, appeal denials, or document that other medications haven't worked for you.
- Ask about step therapy — Some insurance plans require trying older treatments first before approving newer ones. Your doctor can help document your history to support coverage.
- Check for manufacturer assistance programs — The company that makes Nurtec (rimegepant) may offer a patient assistance or payment assistance program. Your neurology team can help determine if you qualify.
- Ask about generic or alternative options — If coverage remains an issue, your doctor can discuss other CGRP medications that may be covered under your plan, such as ubrogepant (Ubrelvy) or atogepant (Qulipta). As one MyMigraineTeam member shared, their neurologist suggested contacting both the insurance company and the medication manufacturer directly to explain the situation — sometimes that extra advocacy makes a real difference.
Don't give up! Persistence, combined with support from your medical team, gives the best chance of finding a solution.
June 28
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