Selzentry (Maraviroc) Medicare Coverage

Selzentry
Chemical name: Maraviroc

Brand name: Selzentry

Typical dosage: 300mg

Typical type: Tablet1

Selzentry is a medication used to treat HIV. Selzentry is available as a brand name only and comes as an oral tablet or an oral solution.

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.

Does Medicare cover Selzentry or Maraviroc?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Selzentry.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.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 Selzentry.

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Average costs for Selzentry with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.		 After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
$42 – $1,719 $42 – $1,719

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.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Selzentry. Retrieved Sep. 2019, from www.goodrx.com/selzentry.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

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.

Medicare has neither reviewed nor endorsed this information.