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 Bariatric Surgery?
Dec 27, 2022
Does Medicare Cover Ofev?
Dec 2, 2022
Does Medicare Cover Cosmetic Surgery?
Nov 28, 2022
What is a Medicare Beneficiary Ombudsman?
Apr 11, 2023
Does Medicare Cover the WATCHMAN Procedure?
Dec 1, 2022
Does Medicare Cover Disposable Underwear?
Dec 8, 2022
What to Do When Your Doctor Doesn't Take Medicare
Feb 24, 2023
Medicare Advantage Plans for Disabled People Under 65
Mar 24, 2023
When Can You Change Medicare Supplement Plans?
Nov 18, 2022
Does Medicare cover Deviated Septum Surgery?
Nov 18, 2022
Will Medicare Cover it?
Oct 3, 2023
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023
Does Medicare Cover Compounded Medications?
Apr 4, 2023
Medicare & Ozempic
Jul 20, 2023
Does Medicare Cover Wart Removal?
Jan 17, 2023
Does Medicare Cover Nexavar?
Nov 30, 2022
Can Medicare Advantage Plans be Used Out of State?
Jun 12, 2023
Does Medicare Cover Cardiac Ablation?
Dec 9, 2022
More of our articles
10 Top Medicare Supplement (Medigap) Companies for 2025
13 Best Ways for Seniors to Stay Active in Indianapolis
14 Best Ways for Seniors to Stay Active in Seattle
14 Best Ways for Seniors to Stay Active in Washington, D.C.
20 Questions to Ask Your Medicare Agent
2024 Cost of Living Adjustment
2024 Fair Square Client Retention and Satisfaction Report
2024 Fair Square NPS Report
Are Medicare Advantage Plans Bad?
Can Doctors Choose Not to Accept Medicare?
Can I Change Medicare Advantage Plans Any Time? | Medicare Plans
Can I Change My Primary Care Provider with an Advantage Plan?
Can I Have Two Primary Care Physicians?
Can I Use Medicare Part D at Any Pharmacy?
Comparing All Medigap Plans | Chart Updated for 2025
Denied Coverage? What to Do When Your Carrier Says No
Do You Need Books on Medicare?
Does Medicare Cover Abortion Services?
Does Medicare Cover an FMT?
Does Medicare Cover Boniva?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover Driving Evaluations?
Does Medicare Cover ESRD Treatments?
Does Medicare Cover Exercise Physiology?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Hypnotherapy?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Kyphoplasty?
Does Medicare Cover Linx Surgery?
Does Medicare Cover Medical Marijuana?
Does Medicare Cover Ozempic?
Does Medicare Cover Physicals & Blood Work?
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover Stair Lifts?
Does Medicare Cover Urodynamic Testing?
Does Medicare Pay for Bunion Surgery?
Explaining IRMAA on Medicare
Fair Square Bulletin: We're Revolutionizing Medicare
Finding the Best Dental Plans for Seniors
Finding the Best Vision Plans for Seniors
How Can I Get a Replacement Medicare Card?
How Do Medicare Agents Get Paid?
How Does Medicare Pay for Emergency Room Visits?
How is Medicare Changing in 2025?
How Much Does a Pacemaker Cost with Medicare?
How Much Does Medicare Cost?
How Much Does Medicare Part A Cost in 2025?
How Much Does Medicare Part B Cost in 2025?
How Much Does Trelegy Cost with Medicare?
How Much Does Xeljanz Cost with Medicare?
How to Apply for Medicare?
How to Compare Medigap Plans in 2025
How to Enroll in Social Security
How Your Employer Insurance and Medicare Work Together
Is Gainswave Covered by Medicare?
Is HIFU Covered by Medicare?
Medicare 101
Medicare Advantage MSA Plans
Medicare Supplement Plans for Low-Income Seniors
Medigap Plan N vs. Plan G — Which One Fits You in 2025?
Moving? Here’s What Happens to Your Medicare Coverage
Seeing the Value in Fair Square
What Are Medicare Part B Excess Charges?
What is Plan J?
What's the Deal with Flex Cards?
What's the Difference Between HMO and PPO Plans?
When to Choose Medicare Advantage over Medicare Supplement
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
Fair Square Medicare
