Does Medicare Cover Imbruvica?

Christian Worstell
In this article...
  • IMBRUVICA is an immunotherapy that uses the immune system to fight cancer cells. Find out how it works and what to expect if you are prescribed this drug, including whether Medicare covers it.

IMBRUVICA is a prescription medication that comes in oral capsule and tablet forms. Doctors prescribe this drug to treat various types of cancer, including Waldenström macroglobulinemia, chronic Graft-Versus-Host-Disease, small lymphocytic lymphoma, chronic lymphocytic leukemia and mantle cell lymphoma.

How Does IMBRUVICA Work?

This drug kills specific proteins within cancerous cells. This prevents the cells from growing, which can slow or limit the spread of the disease. 

Is IMBRUVICA Chemotherapy?

IMBRUVICA is not chemotherapy but a similar type of treatment called targeted therapy. These drugs fall into the category of immunotherapy, which means the medication triggers the immune system to fight cancer cells. This reduces the impact of the treatment on healthy cells.

How Long Will I Have to Take IMBRUVICA?

As with other cancer drugs, IMBRUVICA should be taken under a doctor's supervision. Your healthcare team will determine when and if you should stop taking the drug. Some people stay on this medication as long as they do not have serious side effects. In clinical trials, study participants took the drug for an average of 3 to 4 years.

What Are the IMBRUVICA Side Effects?

If your doctor prescribes IMBRUVICA for cancer treatment, you may experience dizziness, sleep disturbances, dry eyes, cold symptoms, anxiety, muscle spasms, joint or muscle pain, stomach pain, appetite issues, weakness, fatigue and headache.

Diarrhea, constipation, nausea and vomiting are the most common side effects of this drug. You should wash your hands frequently and take care to avoid infection while taking IMBRUVICA. Women who are pregnant or breastfeeding should not take this medication.

How Much Does IMBRUVICA Cost with Medicare?

Most Medicare Advantage and Part D prescription drug plans pay for Imbruvica if your doctor says the drug is medically necessary. You must meet your plan deductible, which could be up to $545 in 2024, before medication coverage begins. 

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

While at HelpAdvisor, Christian has written hundreds of articles that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

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