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
How Much Does Xeljanz Cost with Medicare?
Jan 25, 2023
How Do Medicare Agents Get Paid?
Apr 12, 2023
Does Medicare Cover Fosamax?
Nov 30, 2022
What Is a Medicare Advantage POS Plan?
May 10, 2023
What Is the Medicare Birthday Rule in Nevada?
Mar 28, 2023
What If I Don't Like My Plan?
Jun 8, 2020
Does Medicare Cover Hypnotherapy?
Nov 22, 2022
Finding the Best Dental Plans for Seniors
Jan 4, 2023
How to Enroll in Social Security
Apr 28, 2023
Do I Need Medicare If My Spouse Has Insurance?
Dec 19, 2022
Welcome to Fair Square's First Newsletter
Feb 28, 2023
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Nov 30, 2022
Does Medicare Cover Flu Shots?
Dec 9, 2022
Does Medicare Pay for Bunion Surgery?
Nov 29, 2022
How Much Does Medicare Part A Cost in 2025?
Nov 18, 2022
How Much Does Medicare Part B Cost in 2025?
Dec 27, 2022
How to Apply for Medicare?
Jul 15, 2022
Does Medicare Cover an FMT?
Dec 2, 2022
More of our articles
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 NPS Report
Are Medicare Advantage Plans Bad?
Building the Future of Senior Healthcare
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 Laminate My Medicare Card?
Can Medicare Help with the Cost of Tyrvaya?
Comparing All Medigap Plans | Chart Updated for 2025
Costco Pharmacy Partners with Fair Square
Denied Coverage? What to Do When Your Carrier Says No
Do Medicare Supplement Plans Cover Dental and Vision?
Does Medicare Cover a Spinal Cord Stimulator?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Boniva?
Does Medicare Cover Breast Implant Removal?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Hoarding Cleanup?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Inspire for Sleep Apnea?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Krystexxa?
Does Medicare Cover Linx Surgery?
Does Medicare Cover LVAD Surgery?
Does Medicare Cover Macular Degeneration?
Does Medicare Cover Ofev?
Does Medicare Cover Orthodontic Care?
Does Medicare Cover Robotic Surgery?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover the Urolift Procedure?
Does Medicare Cover Tymlos?
Does Medicare Have Limitations on Hospital Stays?
Does Medicare Pay for Antivenom?
Does Medicare pay for Opdivo?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Does Your Plan Include A Free Gym Membership?
Fair Square Bulletin: We're Revolutionizing Medicare
How Can I Get a Replacement Medicare Card?
How Does Medicare Cover Colonoscopies?
How Does Medicare Pay for Emergency Room Visits?
How is Medicare Changing in 2025?
How Much Does Medicare Cost?
How Much Does Open Heart Surgery Cost with Medicare?
How Often Can I Change Medicare Plans?
How to Become a Medicare Agent
How to Choose a Medigap Plan
How Your Employer Insurance and Medicare Work Together
Is Botox Covered by Medicare?
Is Fair Square Medicare Legitimate?
Is HIFU Covered by Medicare?
Is PAE Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare & Ozempic
Medicare 101
Medicare Deductibles Resetting in 2025
Medigap vs. Medicare Advantage
Saving Money with Alternative Pharmacies & Discount Programs
Should You Work With A Remote Medicare Agent?
The Fair Square Bulletin: October 2023
What Are Medicare Part B Excess Charges?
What is Plan J?
What to Do When Your Doctor Doesn't Take Medicare
What's the Deal with Flex Cards?
Which Medigap Policies Provide Coverage for Long-Term Care?
Why Is Medicare So Confusing?
Why You Should Keep Your Medigap Plan
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. © 2026 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
