Selzentry Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Selzentry medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Your monthly Selzentry cost savings if eligible
The Selzentry patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Selzentry, regardless of the retail price.
Am I eligible for the Selzentry patient assistance program?
To find out if you are eligible for Selzentry assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria, and we will review your application individually to determine if you may be eligible. The three main factors to consider are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for the Selzentry patient assistance program?
Our application process aims to make it as easy as possible to apply for the Selzentry patient assistance program. The first step is to complete our online enrollment application. We will ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Selzentry.
NiceRx will review your application and determine whether you may be eligible for Selzentry assistance. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Selzentry patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period, we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Selzentry.
Is NiceRx a Selzentry coupons provider?
NiceRx is a service provider that helps eligible individuals access the Selzentry patient assistance program. We do not offer trial offers or free Selzentry samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Selzentry coupons, discount cards, or Selzentry copay cards.
Can NiceRx help me get Selzentry if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Selzentry medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much does Selzentry cost without insurance?
Selzentry prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Selzentry oral solution (20 mg/mL) typically costs $840 for a supply of 230 milliliters.
How much does Selzentry cost with insurance?
The copay for Selzentry will vary by the terms of your healthcare plan. To find out what you might need to pay for Selzentry with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
What is Selzentry?
Selzentry is an FDA (U.S. Food and Drug Administration) approved medication manufactured by ViiV Healthcare.
Selzentry is a CCR5 co-receptor antagonist used in combination with antiretroviral drug treatment of adults infected with only CCR5-tropic HIV-1 infection detectable, who have evidence of viral replication and HIV-1 strains resistant to multiple antiretroviral agents. Tropism testing and treatment history should guide the use of Selzentry.
Hepatotoxicity (liver problems) has been reported. This may be preceded by a systemic allergic reaction (e.g., pruritic rash, eosinophilia, or elevated IgE). Evaluate patients immediately who show signs of an allergic reaction. The safety and efficacy of Selzentry in pediatric patients have not been determined.
What doses of Selzentry are available?
Selzentry is available in tablet form, in the following doses: 150 mg and 300 mg.
- When given with strong CYP3A inhibitors including PIs – 150 mg tablet twice daily
- With NRTIs – 300 mg twice daily
- With CYP3A inducers – 600 mg twice daily
Store Selzentry tablets and oral solution at room temperature. Please read the prescribed information and medication guide. Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Selzentry active ingredients
Maraviroc is a member of a drug class called CCR5 co-receptor antagonists.
Selzentry side effects
The most common side effects of Selzentry in clinical trials compared to placebo include:
- Upper respiratory tract infections, cough
- Musculoskeletal symptoms
- Stomach pain, and dizziness
- Yellowing of skin or eyes
- Postural hypotension (low blood pressure), when your blood pressure lowers when you change body position
In rare instances, Selzentry can cause more serious adverse effects. These can include:
- Cardiovascular events – myocardial ischemia and/or infarction (heart attack)
- Other infections or cancer – Selzentry affects other immune system cells
Your doctor will assess the benefits of using Selzentry against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Selzentry to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Selzentry drug interactions
Selzentry can interact with other medications. These include:
- CYP3A inhibitors, including protease inhibitors – tipranavir/ritonavir), delavirdine atazanavir, telithromycin, enfuvirtide
- CYP3A inducers – efavirenz, rifampin, etravirine, elvitegravir
- St. John’s wort
This list is not exhaustive and other prescription drugs may interact with Selzentry. Tell your doctor about all the medicines you take, including prescription drugs and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Selzentry if you:
- Are allergic to the active ingredient maraviroc
- Are allergic to any of the other ingredients in Selzentry
- Are under the age of 16
Talk to your doctor before using Selzentry if you:
- Are taking any of the medications that could interact with Selzentry
- Have liver dysfunction or are co-infected with viral hepatitis B or C
- Are at increased risk of cardiovascular events
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Selzentry is the trademark brand name for maraviroc manufactured by ViiV Healthcare. A generic version of maraviroc is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Selzentry savings through NiceRx.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking the different programs and filling out all the required paperwork for each program. Subject to medication availability.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.