Selzentry

ViiV HEALTHCARE Patient Assist Program Patient Guide: How to Get Selzentry (maraviroc) at Low or No Cost

Selzentry (maraviroc) is an antiretroviral medication used to treat HIV-1 infection in adults and children who weigh at least 2 kg and are treatment-experienced or have certain CCR5-tropic viruses. The ViiV Healthcare Patient Assistance Program (PAP) provides Selzentry at no cost to eligible uninsured patients or those with Medicare who meet income limits and other criteria[1][5][6].

About Selzentry (maraviroc)

Selzentry, also known as maraviroc, is a prescription medicine that blocks the CCR5 receptor on CD4 cells, preventing HIV-1 from entering and infecting them. It is typically used in combination with other antiretroviral drugs for patients whose virus uses the CCR5 co-receptor (confirmed by a tropism test). Common side effects include diarrhea, nausea, headache, and rash; serious risks involve liver problems, heart issues, or infections—always consult your doctor[1][6]. This program helps ensure access for those facing financial barriers, as Selzentry can be expensive without coverage.

Who Qualifies for the Program?

To qualify for free Selzentry through the ViiV Healthcare PAP, you must meet all these criteria:

• Live in the 50 U.S. states, District of Columbia, or Puerto Rico (applications for patients under 18 need parent/guardian signature)[1][6].
• Be uninsured or have Medicare Part A, B, D, or Medicare Advantage (but meet extra requirements like spending $600+ on drugs that year for Part D)[1][5].
• Not enrolled in Medicaid, Puerto Rico Government Health Plan, AIDS Drug Assistance Program (ADAP), Alternate Funding Programs, or other federal/state government plans (except Medicare)[1][5].
• Meet income eligibility (detailed below)[6].
• Have a valid prescription for Selzentry from your doctor[5].

This program is operated by the GSK Patient Access Programs Foundation, separate from ViiV Healthcare, and does not count as health insurance[4].

Income Eligibility Breakdown

Eligibility is based on gross household income at or below these limits for the 48 states and DC (Alaska and Hawaii may differ—call to confirm). If your income is slightly over, you may qualify by showing high medical expenses[6].

Notes: Income includes all household earnings before taxes. Provide proof like tax returns or pay stubs. Up to 500% of Federal Poverty Level per some sources[5][6]. Contact the program for exact FPL calculations or exceptions.

Insurance Requirements

• Uninsured patients: Fully eligible if other criteria met[1].
• Medicare patients: Eligible for Part A/B/D/Advantage if you've spent $600+ on drugs this year and meet income rules. Medicare Part D enrollees must apply by mail/fax first—no same-day phone approval[5].
• Excluded: Commercial insurance may direct you to ViiVConnect savings (not PAP); government programs like ADAP/Medicaid disqualify you[1][4].
• First, try ViiVConnect (1-844-588-3288) to check coverage or savings options before PAP[2][3].

Step-by-Step Application Process

The program offers multiple application methods: phone, fax, mail, or download forms[1][5][6]. Here's how:

1. Get a prescription: Ask your doctor for Selzentry and have them complete the provider section[5].
2. Enroll via ViiVConnect first (recommended): Download/fill the Patient Enrollment/Authorization Form (English/Spanish). Include insurance details if any. Email to info@viivconnectportal.com or fax 1-844-208-7676[3]. An Access Coordinator calls in a few days[3].
3. For PAP specifically (oral meds like Selzentry):
   • Download the Oral Medication Enrollment Form from gskpaf.org/viiv[6].
   • Patient and doctor both sign/date it.
   • Attach proof of income (e.g., 1040 tax return, W-2s, pay stubs)[5].
   • Fax or mail per form instructions[6].
4. Call for help: 1-844-588-3288 (Mon-Fri 8AM-8PM ET, languages available). They can fax/mail apps or enroll same-day for non-Medicare[1][5].
5. Doctor involvement: Providers download forms from viivconnect.com or gskpaf.org[6].

Required Documents:

• Prescription.
• Proof of income.
• Insurance cards (front/back) if applicable.
• ID/residency proof if requested[3][5].

Timeline and Delivery

• Processing: A few days for ViiVConnect response; PAP varies—non-Medicare may ship same-day via phone enrollment, Medicare by mail/fax takes longer[3][5].
• Supply: Up to 90-day supply per shipment, shipped free to your home[5].
• Refills: Reauthorization likely required (call for details); track via coordinator[1]. Expect ongoing eligibility checks.

Alternatives if Denied or Ineligible

• ViiVConnect Savings: For insured patients, copay as low as $0 (not for Medicare/government programs)[4][7]. Enroll at viivconnect.com or ViiVSavingsProgram.com[7].
• State ADAP: If eligible, covers HIV meds[1].
• RxHope or NeedyMeds: Search other PAPs[5].
• Patient Access Network (PAN) Foundation or generic assistance.
• Appeal denial by calling 1-844-588-3288 with more docs[1].
• Biosimilars/Alternatives: None listed for Selzentry; discuss CCR5 antagonists or other HIV regimens with your doctor.

Important Disclaimer

This guide is for informational purposes based on available program details as of latest data. Eligibility, terms, and income limits can change—always verify by calling 1-844-588-3288 or visiting gskpaf.org/viiv / viivconnect.com. This is not health insurance or medical advice. Consult your healthcare provider for treatment decisions. ViiV Healthcare/GSKPAF not liable for errors. For patients under 18, guardian required[1][4][6]. (Word count: 1028)