Does Medicare Cover Nexavar?
By Daniel Petkevich
Nov 30, 2022
You've probably got coverage depending on your Plan D
Knowing that you have coverage can offer peace of mind amidst very challenging times for Medicare beneficiaries seeking treatment for liver cancer. Luckily, over 98% of Medicare Part D plans will provide coverage for Nexavar. Read more to learn about Medicare coverage and potential restrictions on coverage.
Speak with a Medicare Advocate
What is Nexavar?
Nexavar is a prescription medication used to treat advanced stages of kidney and liver cancer. The active ingredient in Nexavar, sorafenib, blocks signals that tumors use to spread and grow. The medicine works by targeting proteins in the cancer cells.
How do Medicare Part D plans cover Nexavar?
Most Medicare Part D plans offer coverage for Nexavar. Coverage may vary by plan, so it’s important to contact your insurance provider directly to learn more about how your specific plan covers Nexavar. Check your Part D plan formulary to make sure Nexavar is listed there and for tier information. Nexavar is typically on Tier 5, making it among the more expensive drugs.
What restrictions may apply to coverage?
Your Part D plan may impose a variety of restrictions on Nexavar. These could include limits on the number of refills and prior authorization. Part D plans usually require prior authorization or a step therapy protocol before covering Nexavar. This means that your doctor will need to provide evidence that other treatments have failed before Medicare will approve coverage for Nexavar.
How can beneficiaries find out if their plan covers Nexavar?
The best way to find out if your plan covers Nexavar is to contact your Part D provider directly and ask. You can also look up your formulary online or call the customer service number on the back of your insurance card. It’s wise to discuss any potential restrictions that may apply before beginning treatment with Nexavar. Your doctor or pharmacist can also help to clarify if there are any restrictions on your coverage.
How can people get more information about Medicare Part D plans and liver cancer treatments?
People can visit Medicare’s website for more information about Part D plans and coverage. If you have any questions about your Part D plan or Nexavar, you can contact the customer service number on the back of your insurance card. You can also speak to your doctor or pharmacist for more information about liver cancer treatments.
Takeaway
For Medicare beneficiaries seeking treatment for liver cancer, Nexavar is usually covered by Part D plans. Coverage may vary by plan and could include restrictions such as limits on the number of refills or prior authorization. It’s important to check with your doctor before you decide to start or stop taking any medication (including Nexavar). This content is for informational purposes only.
Recommended Articles
Does Medicare Cover Cervical Disc Replacement?
Jan 20, 2023
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Plan G vs. Plan N
Jan 28, 2022
What Does Medicare Cover for Stroke Patients?
Jan 20, 2023
Explaining the Different Enrollment Periods for Medicare
Feb 3, 2023
Does Medicare Cover Vitamins?
Dec 5, 2022
Does Medicare Cover Linx Surgery?
Dec 6, 2022
How to Deduct Medicare Expenses from Your Taxes
Dec 28, 2022
Does Medicare Cover Zilretta?
Nov 28, 2022
13 Best Ways for Seniors to Stay Active in Phoenix
Mar 6, 2023
Does Medicare Cover Jakafi?
Dec 12, 2022
Will Medicare Cover it?
Oct 3, 2023
How Much Does Medicare Cost?
Jul 25, 2022
How Often Can I Change Medicare Plans?
May 5, 2023
Costco Pharmacy Partners with Fair Square
Jan 13, 2023
Does Medicare Cover LVAD Surgery?
Nov 30, 2022
Can I Use Medicare Part D at Any Pharmacy?
Aug 28, 2023
Does Medicare Cover Orthodontic Care?
Nov 18, 2022
More of our articles
10 Top Medicare Supplement (Medigap) Companies for 2025
14 Best Ways for Seniors to Stay Active in Nashville
15 Best Ways for Seniors to Stay Active in Denver
2024 Cost of Living Adjustment
2024 Fair Square Client Retention and Satisfaction Report
Can I Change Medicare Advantage Plans Any Time? | Medicare Plans
Can I Have Two Primary Care Physicians?
Comparing All Medigap Plans | Chart Updated for 2025
Do I Need Medicare If My Spouse Has Insurance?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Breast Implant Removal?
Does Medicare Cover Cala Trio?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Driving Evaluations?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Flu Shots?
Does Medicare Cover Fosamax?
Does Medicare Cover Geri Chairs?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Ketamine Infusion for Depression?
Does Medicare Cover Krystexxa?
Does Medicare Cover Light Therapy for Psoriasis?
Does Medicare Cover Medical Marijuana?
Does Medicare Cover Nexavar?
Does Medicare Cover Ozempic?
Does Medicare Cover Physicals & Blood Work?
Does Medicare Cover PTNS?
Does Medicare Cover Robotic Surgery?
Does Medicare Cover RSV Vaccines?
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover TENS Units?
Does Medicare Cover Tymlos?
Does Medicare Pay for Allergy Shots?
Does Medicare Pay for Antivenom?
Does Medicare Pay for Bunion Surgery?
Does Medicare Pay for Varicose Vein Treatment?
Does Your Medicare Plan Cover B12 Shots?
Does Your Plan Include A Free Gym Membership?
Estimating Prescription Drug Costs
Fair Square Bulletin: We're Revolutionizing Medicare
How Are Medicare Star Ratings Determined?
How Can I Get a Replacement Medicare Card?
How Do I Sign up for Medicare? A Simple How-To Guide For You
How Do Medicare Agents Get Paid?
How Does Medicare Pay for Emergency Room Visits?
How Much Does a Medicare Coach Cost?
How Much Does Xeljanz Cost with Medicare?
Is Displacement Affecting Your Medicare Coverage?
Is Emsella Covered by Medicare?
Is Fair Square Medicare Legitimate?
Last Day to Change Your Medicare Part D Plan
Medicare 101
Medicare Advantage MSA Plans
Medicare Explained
Medicare Guaranteed Issue Rights by State
Medicare Supplement Plans for Low-Income Seniors
The Easiest Call You'll Ever Make
The Fair Square Bulletin: October 2023
Top 10 Physical Therapy Clinics in San Diego
What is a Medicare Beneficiary Ombudsman?
What Is Medical Underwriting for Medigap?
What is the 8-Minute Rule on Medicare?
What is the Medicare ICEP?
What People Don't Realize About Medicare
What to Do When Your Doctor Leaves Your Network
What You Need to Know About Creditable Coverage
What's the Difference Between HMO and PPO Plans?
When Can You Change Medicare Supplement Plans?
Why Is Medicare So Confusing?
Will Medicare Cover Dental Implants?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. 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. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M