Selzentry (Maraviroc) Medicare Coverage

Selzentry is a medication that contains the active ingredient Maraviroc. Selzentry is used to treat CCR5 HIV-1 infection.

Selzentry is typically taken twice daily and used in combination with other antiviral agents. Selzentry binds to receptors on particular types of cells in the body to block HIV from entering and damaging the cells.

Common side effects of Selzentry include constipation, diarrhea, dizziness, stomach pain, heartburn, gas, bloating, insomnia and signs of a common cold.

How much does Maraviroc cost with Medicare?

Maraviroc coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Maraviroc?

According to GoodRx, 99% of Medicare Advantage plans and Medicare Part D plans covered Maraviroc, the generic form of Selzentry, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Maraviroc include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Maraviroc. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Selzentry can lead to liver problems. Let your doctor know if you have any signs of liver toxicity like dark urine, fatigue, loss of appetite, upset stomach, nausea or yellow skin or eyes.  

Selzentry is not a cure for HIV and does not stop the spread of HIV that is passed through the blood or through sexual intercourse. Follow up with your doctor regularly.

Let your doctor know if you experience signs or symptoms of an infection like fever, sore throat, weakness, cough or shortness of breath. Selzentry can lead to problems with the immune system.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.