Does Medicaid cover Zoloft?

Asked by: Mrs. Pauline Bayer  |  Last update: November 1, 2025
Score: 5/5 (66 votes)

Is Zoloft Covered by Insurance? Whether or not your health insurance covers Zoloft depends on your plan and provider. Most major insurers, Medicaid, and Medicare, all cover at least some form of generic medication of Zoloft, but there are often restrictions that limit how much coverage is available per month or year.

Is Zoloft covered by Medicare?

Sertraline is the generic form of the medication Zoloft. Sertraline is used to treat major depressive disorders, obsessive compulsive disorder, PTSD, panic disorder, premenstrual dysphoric disorder and social anxiety disorder. Antidepressants are covered by all prescription drug plans (Part D) under Medicare.

How much does a 30 day supply of Zoloft cost?

The cost for Zoloft 100 mg oral tablet is around $466 for a supply of 30 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Why would Medicaid deny a prescription?

Errors in the prescription itself, missing information, or discrepancies between the prescribed medication and what Medicaid covers can all lead to a denial.

What to do if Medicaid doesn't cover medication?

Call the Medicaid Prescription Drug Helpline at 1-800-436-6001 for assistance if Medicaid or your Medicaid HMO will not cover your prescription. Call as soon as possible to prevent a disruption of your prescription drug coverage.

What does Medicaid cover?

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Why do most doctors not accept Medicaid?

One reason is that reimbursement rates for Medicaid are lower than for Medicare or commercial insurance. Another (often overlooked) factor, however, is physician's risk of payment denials and the administrative hassle they face trying to get reimbursed by Medicaid.

Does Medicaid pay for Zoloft?

Is Zoloft Covered by Insurance? Whether or not your health insurance covers Zoloft depends on your plan and provider. Most major insurers, Medicaid, and Medicare, all cover at least some form of generic medication of Zoloft, but there are often restrictions that limit how much coverage is available per month or year.

Does Zoloft cause weight gain?

Sertraline may cause weight gain, although most people don't experience this. But it's important to remember that several factors can contribute to weight gain. For example: Untreated depression can lead to loss of appetite and unexpected weight loss.

Do doctors still prescribe Zoloft?

Zoloft is a brand-name prescription medication that's prescribed for several mental health conditions. Specifically, it's FDA-approved for use in adults to treat: obsessive-compulsive disorder (OCD) major depressive disorder.

Can you drink on Zoloft?

If you have just started taking Zoloft, it's imperative to avoid alcohol until your body has adjusted to the medication. If you choose to drink, it's wise to do so in moderation and consult with your medical professional about the risks of mixing Zoloft and alcohol.

Does Zoloft increase motivation?

You may notice that you feel more energized, or as though you can think more clearly than before. Zoloft can also increase your motivation levels, which may have been low if you were previously feeling depressed.

What is the best generic for Zoloft?

Sertraline is the generic version of the drug, and it may cost less than the brand-name version, Zoloft.

Can I get Zoloft without insurance?

Without insurance, a 30-day supply of brand-name Zoloft tablets can cost around $525.25. The exact price you pay will depend on factors like your pharmacy and location, as well as your dosage. A GoodRx coupon may be able to help you save around 20% off the cost of Zoloft at some pharmacies.

Can Zoloft mess with hormones?

Zoloft can affect hormones in the body, which may alter the menstrual cycle. When taking Zoloft, a woman's menstrual periods may stop or become irregular.

Do doctors get money for prescribing Zoloft?

Start with what the law says: It's not legal for a doctor to receive benefit for prescribing a certain drug. But there's a large gray area where pharmaceutical companies are able to give benefits to doctors. A doctor can receive payment from pharma companies for promoting multiple products in that company's line.

Why is it better to take Zoloft at night?

If Zoloft makes you drowsy, you may want to take it in the evening. However, if it makes you feel more awake, you may prefer to take it in the morning.

What celebrities take Zoloft?

Sarah Silverman takes "a small dose of Zoloft" to manage her depression after years of taking various mental health medications. The comedian opened up about her experience with depression and panic attacks in an essay for Glamour in 2015.

Will I lose weight if I stop taking Zoloft?

Stopping antidepressants may lead to improved mental clarity, weight loss, and restored sexual function. It may also cause side effects, but these are typically mild and go away on their own. Anyone interested in learning more about stopping antidepressants should speak with a healthcare or mental health professional.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

What's the difference between Zoloft and sertraline?

Sertraline is the active ingredient in the brand-name medication Zoloft®. The information below is about brand name Zoloft. According to the FDA, “Generic medicines use the same active ingredients as brand-name medicines and work the same way, so they have the same risks and benefits as the brand-name medicines.”

How much is a 30 day supply of sertraline?

Sertraline (Zoloft) is an FDA-approved medication that treats depression and other mental health conditions. A month's supply of generic sertraline may cost around $31.23 without insurance. Your exact cost will depend on the form and dosage, your pharmacy, and other factors.

Can I refuse Medicaid?

If you were found eligible for Medicaid but do not wish to enroll, you will need to fill out the Decline Medicaid Coverage Form available here. Declining Medicaid will not change your eligibility for advance premium tax credits or cost-sharing reductions to use to purchase a private health insurance plan.

Is Medicaid worth it?

A large body of research shows that Medicaid beneficiaries have substantially better access to care than people who are uninsured (who are also primarily low-income) and are less likely to postpone or go without needed care due to cost.