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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Question: is anyone else taking Iqirvo and if you are US based and on a traditional Medicare plan do you mind sharing what Part D plan?

A myPBCteam Member asked a question 💭
Sarasota, FL

Question: is anyone else taking Iqirvo and if you are US based and on a traditional Medicare plan do you mind sharing what Part D plan you are on? I have just transitioned to a traditional medicare plan and need to find a part D drug plan. I know this medication has been hard to get approved by insurance so I am worried about this change. I was on an advantage plan which decided to stop paying for my doctors. Since I would rather stay with my docs than find new ones I have to make the change… read more

November 21, 2025
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A myPBCteam Member

I was and still approved for 12 months. My doctor took me off for awhile to check things out. I have a medicare advantage plan with United Healthcare through Texas Retired Teachers. So far it has been wonderful for medication. Don’t know how it will be after next year.

November 21, 2025
A myPBCteam Member

I was taken off of it by new doctor. Last labs ALP came down but 5 others shot up.

November 21, 2025
A myPBCteam Member

Thanks for answering Jan! I know with specialty meds we have to reapply every year. Is it helping your labs?

November 21, 2025
myPBCteam

Is anyone else taking Iqirvo on a traditional Medicare Part D plan, and which plan are you using?

Navigating insurance coverage for Iqirvo can definitely be challenging, especially during a transition from an Advantage plan to traditional Medicare. Your concern about approval is completely understandable.

While the search Show Full Answer

Is anyone else taking Iqirvo on a traditional Medicare Part D plan, and which plan are you using?

Navigating insurance coverage for Iqirvo can definitely be challenging, especially during a transition from an Advantage plan to traditional Medicare. Your concern about approval is completely understandable.

While the search results don't include specific feedback from myPBCteam members about their Part D plans for Iqirvo, this is exactly the kind of practical question that other members in the community might have experience with.

Since Iqirvo is a newer PBC medication, coverage can vary significantly between Part D plans. When selecting a plan, you'll want to:

* Check if Iqirvo is on the plan's formulary
* Review what tier it's placed in (which affects cost)
* Understand any prior authorization requirements
* Look into whether the plan requires step therapy

Consider reaching out to the Iqirvo manufacturer's patient support program at Ipsen, as they often provide assistance navigating insurance coverage and may have information about which Part D plans typically cover the medication.

It's frustrating to deal with insurance complications on top of managing PBC, but staying with doctors you trust is worth the effort. Posting your question in the myPBCteam Q&A or forums may connect you with members who've successfully navigated this exact situation.

November 21, 2025

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