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Selzentry Prices, Coupons and Patient Assistance Programs

Selzentry (maraviroc) is a member of the chemokine receptor antagonist drug class and is commonly used for HIV Infection.

Selzentry Prices

The cost for Selzentry oral liquid (20 mg/mL) is around $840 for a supply of 230 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Selzentry is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Selzentry availability.

This Selzentry price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Oral Liquid

Oral Tablet

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Selzentry Coupons and Rebates

Selzentry offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Selzentry ViiVConnect Savings Card: Eligible commercially insured patients pay $0 per prescription with savings of up to $4800 per calendar year; for additional information contact the program at 844-588-3288.

Applies to:
Selzentry
Number of uses:
per prescription per calendar year

Form more information phone: 844-588-3288 or Visit website

Selzentry ViiVConnect Rebate: Eligible commercially insured patients may be eligible for a rebate for the amount paid out of pocket per prescription if the pharmacy does not accept the savings card; rebate may be completed online or by downloading and mailing in rebate form; for additional information contact the program at 844-588-3288.

Applies to:
Selzentry
Number of uses:
One rebate per prescription fill

Form more information phone: 844-588-3288 or Visit website

Patient Assistance Programs for Selzentry

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Selzentry (maraviroc)

More information please phone: 866-316-7263 Visit Website

Provider: Good Days Program

Elligibility requirements:
  1. Must have insurance
  2. At or below 500% of FPL
  3. FDA-approved diagnosis
  4. The patient must also be a US resident with a Social Security Number.
  5. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Applicable drugs:
  • Selzentry (maraviroc)

More information please phone: 877-968-7233 Visit Website

Provider: ViiV Healthcare Patient Assistance Program

Elligibility requirements:
  1. *Contact program for details.
  2. At or below 500% of FPL
  3. Medically appropriate condition/diagnosis
  4. Must live in US, DC or Puerto Rico
  5. *Contact ViiV Connect for additional information at 844-588-3288 or www.viivconnect.com Medicare Part B, Part D and Medicare Advantage plan patients who need medicine that same day should ask their Patient Representative (ie, anyone involved in the delivery of the patient's healthcare and is not a family member or friend) to enroll them in ViiV Healthcare PAP by phone. Patients enrolled in a Medicare Part B, Part D and Medicare Advantage prescription drug plan must apply via mail or fax and be found eligible before medicine can be shipped. This Program participates in the CPAPA. This single common application allows uninsured HIV-positive individuals with low incomes to use one application to apply for multiple assistance programs. IMPORTANT: Send completed CPAPA to the corresponding addresses listed for each company.
Applicable drugs:
  • Selzentry (maraviroc)

More information please phone: 844-588-3288 Visit Website

Provider: HarborPath ADAP Waiting List Program

Elligibility requirements:
  1. Must be uninsured
  2. Determined case by case
  3. Medically appropriate condition/diagnosis
  4. The patient must also be a US resident.
  5. Resources for HEALTHCARE PROFESSIONALS ONLY. Patients are eligible for the HarborPath ADAP Waiting List Program if they: Meet eligibility for the ADAP Waiting List Program in their state of residency; and have a confirmation letter from their state ADAP indicating patient is on the ADAP waiting list. Typical eligibility requirements do not apply to the ADAP Waiting List Program.
Applicable drugs:
  • Selzentry (maraviroc)

More information please phone: 855-300-8916 Visit Website