Medicare Advantage Drug Cost for Nexavar



There are 43 Medicare Advantage Plans with additional prescription drug coverage for Nexavar available to residents in New York. The average retail unit cost (e.g. per pill) for a 30-day supply at in-area retail pharmacies is $197.68 ($5,930.54). Nexavar is typically listed as a Tier 5 drug on the formulary and does not require prior authorization.

Below is the average retail cost and your co-pay for Nexavar in New York. You can also see if each plan requires prior authorization, step therapy or has drug quantity limits. Please check the formulary for different brand and generic drug names. Every Medicare Advantage Plan will vary in coverage, co-pays, costs and premiums. This chart can help you sort through different plan details to find a Medicare Advantage Plan in Bronx with the best coverage and the cheapest prices for your medications in New York.



Proprietary Name:Nexavar
Generic Name:Sorafenib
Drug Package:120 Tablet, Film Coated In 1 Bottle, Plastic
Drug Strength:200mg/1
Substance:Sorafenib
Dosage Form:Tablet, Film Coated
Route:Oral
Labeler:Bayer Healthcare Pharmaceuticals Inc.
Pen Name:Human Prescription Drug
NDC#50419048858
RX#615979
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Bronx





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Medicare Advantage Coverage for Nexavar in New York


Click the Plan Name for More Details
Click the header to sort
Plan
Name ⇅
Tier
Level
Your
Cost
Preferred
Cost
Non
Preferred
Cost
Mail
Limit
Amt/
Days
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
Aetna Medicare Elite Plan

528%28%28%/YN$208.06
($6,241.73)
Aetna Medicare Premier Plan

529%29%29%/YN$208.06
($6,241.73)
Aetna Medicare Value Plan

529%29%29%/YN$208.06
($6,241.73)
Elderplan Extra Help

5NA25%NA/YN$179.87
($5,396.18)
Empire MediBlue Extra Select

525%25%NA/YN$207.72
($6,231.74)
Empire MediBlue HealthPlus

527%27%NA/YN$207.72
($6,231.74)
Empire MediBlue HealthPlus Select

527%27%NA/YN$207.72
($6,231.74)
Empire MediBlue Plus

527%27%NA/YN$207.72
($6,231.74)
Empire MediBlue Select

527%27%NA/YN$207.72
($6,231.74)
Healthfirst 65 Plus Plan

5NA26%NA/YN$202.04
($6,061.30)
Healthfirst Increased Benefits Plan

5NA25%NA/YN$202.04
($6,061.30)
Healthfirst Signature

5NA26%NA/YN$202.04
($6,061.30)
MetroPlus Platinum Plan

1NA25%NA/YN$175.34
($5,260.26)
Wellcare Assist

525%25%25%/YN$203.15
($6,094.58)
Wellcare Assist Open

525%25%25%/YN$203.15
($6,094.58)
Wellcare Fidelis Assist

525%25%25%/YN$203.15
($6,094.58)
Wellcare Fidelis No Premium

533%33%33%/YN$207.72
($6,231.74)
Wellcare Giveback Open

527%27%27%/YN$207.72
($6,231.74)
Wellcare No Premium

533%33%33%/YN$207.72
($6,231.74)
Wellcare No Premium Open

533%33%33%/YN$207.72
($6,231.74)
Wellcare Premium Ultra Open

533%33%33%/YN$207.72
($6,231.74)


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SNP Prescription Drug Cost for Nexavar

Click the Plan Name for More Details about that Plan
Click the header to sort
Plan
Name ⇅
Tier
Level
Cost
Preferred
Cost
Non
Preferred
Cost
Amt
Mail
Limit
Days/
Amt
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
Aetna Medicare Assure Plan

5NA$0NA/YN$208.06
($6,241.73)
ArchCare Advantage

1NA25%NA/YN$179.87
($5,396.18)
Elderplan Advantage For Nursing Home Residents

1NA25%NA/YN$179.87
($5,396.18)
Elderplan Assist

5NA25%NA/YN$179.87
($5,396.18)
Elderplan For Medicaid Beneficiaries

1NA15%NA/YN$179.87
($5,396.18)
Elderplan Plus Long Term Care

1NA15%NA/YN$179.87
($5,396.18)
Empire MediBlue Dual Advantage

525%25%NA/YN$207.72
($6,231.74)
Empire MediBlue Dual Advantage Select

525%25%NA/YN$207.72
($6,231.74)
Empire MediBlue HealthPlus Dual Connect

525%25%NA/YN$207.72
($6,231.74)
Empire MediBlue HealthPlus Dual Plus

525%25%NA/YN$207.72
($6,231.74)
Healthfirst CompleteCare

5NA25%NA/YN$202.04
($6,061.30)
Healthfirst Life Improvement Plan

5NA25%NA/YN$202.04
($6,061.30)
Longevity Health Plan

1NA25%NA/YN$178.20
($5,345.94)
MetroPlus Advantage Plan

1NA$0NA/YN$175.34
($5,260.26)
MetroPlus UltraCare

1NA$0NA/YN$175.34
($5,260.26)
RiverSpring MAP

1NA15%NA/YN$182.22
($5,466.70)
RiverSpring Star

1NA25%NA/YN$182.22
($5,466.70)
Senior Whole Health of New York NHC

1NA$0NA/YN$179.87
($5,396.18)
Wellcare Dual Access

1NA$0NA/YN$203.15
($6,094.58)
Wellcare Dual Access Open

1NA$0NA/YN$203.15
($6,094.58)
Wellcare Fidelis Dual Access

1NA$0NA/YN$203.15
($6,094.58)
Wellcare Fidelis Dual Plus

1NA$0NA/YN$203.15
($6,094.58)


Do any Medicare Advantage Plans Cover Nexavar? Yes, 43 Medicare Advantage Plans cover this drug in New York.

How much does Nexavar Cost? $197.68, the average retail cost in New York is $197.68 per unit or $5,930.54 for a 30-day supply at in-area pharmacies.

What Tier is Nexavar? Tier 5, most Advantage Plans list Nexavar on Tier 5 on their formulary. Usually, the higher the tier, the more you have to pay for the medication.

Do I need Prior Authorization for Nexavar? Yes, the majority of Medicare Prescription Plans do require prior authorization from your doctor for Nexavar.



Additional Notes by Medicare Help:

Most plans have 4 levels of coverage. The exception is the $0 Deductible Plans.
1.Pre-Deductable: Before you reach the plans deductible. Some plans offer select Pre-deductible drug Coverage
2.Initial Coverage: (ICL) After you reach the plans deductible but before the Initial Coverage limit.
3.Coverage Gap: (AKA Donut Hole) After you reach the plans ICL but before the Catastrophic of $7550 in 2022.
4.Catastrophic: Anything over $7550 you will receive a significant increase in coverage.

Formulary Definitions:

Tier Level: Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost. A drug in a lower tier will generally cost you less.
Cost Preferred: Your Cost for the Drug at the Providers In Network Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Non Preferred: Your Cost for the Prescription Drug at a Non-Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Mail: Your Cost for Prescription Drugs through a Mail Order Pharmacy. As a Percent of the total drug cost or a flat rate.
Quantity Limit Amount/Days: Certain drugs have a Quantity Limit. That means the plan will only cover the drug up to a designated quantity or amount. If your prescribing doctor feels it is necessary to exceed the set limit, he or she must get prior approval before the higher quantity will be covered.
Prior Authorization: Certain Drugs require you or your doctor to get prior authorization in order to be covered. Usually just an additional form. If you dont get approval, the plan may not cover the drug.
Step Therapy: Means you must first try one drug to treat your medical condition before the plan will cover another drug for the same condition. If you have already tried other drugs or your doctor thinks they are not right for you, you and your doctor can ask the plan to cover this drug.
Avg Unit Cost: Average unit cost (e.g. per pill) for specified days supply at in-area retail pharmacies. A pharmacy is considered in-area when it is geographically located in the service area.




What if a drug I need is not listed?

Please check the formulary for different brand and generic names. If you still cannot locate your drugs, your plan may not offer coverage. Talk to your doctor first about changing your prescription to a drug on your plans formulary. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances.

Last updated on
Source:CMS Formulary Data Q4 2022
Source:NDC Directory by FDA.gov

**We make every attempt to keep our information accurate. But please check with the plan providers to verify all information.

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