Selzentry Patient assistance program

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:

• Pyrexia
• Upper respiratory tract infections, cough
• Rash
• 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.

Selzentry contraindications

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 generic

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.

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