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Is Nexavar cost covered by Medicare?

Medically reviewed by Leigh Ann Anderson, PharmD. Last updated on March 18, 2024.

Official answer

by Drugs.com

Medicare may pay for Nexavar depending on your Part D plan, but you may still be responsible for some of the costs or a copay. You can contact your Medicare Prescription Part D plan or Medicare Advantage Plan and ask them if Nexavar or the generic is on their formulary and your price.

Generic options for medications are often covered under Medicare plans, but you may still have to qualify through a prior authorization, which is paperwork that your doctor will submit.

Your costs can vary depending on if you have insurance copays, coinsurance, need to meet a deductible, have administration fees, and what state you live in. Be sure to speak with your healthcare provider about medication costs before treatment, including costs to administer the medication and any generic options.

Most people without Medicare do not pay the full price for Nexavar or the generic, but get help covering the cost through private insurance or patient assistance programs.

If you do not have insurance, patient assistance programs from the manufacturer or through non-profit organizations may be able to provide financial assistance.

Drugs.com Price Guide: You can view the most up-to-date prices and find a discount coupon here:

Prices can vary based on your pharmacy and location. 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.

How do I get Nexavar?

This medicine will be mailed to you from a specialty pharmacy after your doctor prescribes it. You will not usually pick it up from your regular pharmacy.

Specialty medicines are often very expensive medicines that may require special prior authorization from your insurance company or monitoring for the drug’s safety and effectiveness.

Learn more: How does Nexavar work? Is it a chemo drug?

Related Questions

Why is Nexavar prescribed?

Nexavar (sorafenib) is classified as a vascular endothelial growth factor (VEGF) inhibitor and tyrosine kinase inhibitor (multikinase inhibitor). It is used to treat:

  • liver cancer (hepatocellular carcinoma or HCC) that cannot be removed with surgery.
  • thyroid cancer called differentiated thyroid carcinoma (DTC) that has spread or recurred and is not responsive to radioactive iodine treatment.
  • advanced kidney cancer (renal cell carcinoma or RCC).

The recommended dose of Nexavar (sorafenib) is 400 mg orally twice daily without food (at least 1 hour before or 2 hours after a meal). Based on side effects, your doctor may need to adjust your dose. Always follow your doctor’s dosing directions exactly.

Nexavar was first approved by the FDA in 2005 and is manufactured by Bayer Healthcare.

This is not all the information you need to know about Nexavar (sorafenib) for safe and effective use. Review the full drug product information and discuss this information and any questions you have with your doctor or other health care provider.

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