RESOURCES: Pharmaceutical & Non-Pharmaceutical Resources, plus additional resources, for Bleeding Disorders
Free Factor & Co-Pay/Deductible Assistance Programs

Bayer
www. Jivi-us.com   www.kovaltry.com   www.livingwithhemophilia.com
Access Services by Bayer 1-800-288-8374

  • $0 Product Co-pay Program: You may receive up to $20,000 in assistance per year, regardless of income.
  • Free Trial Program: Enroll today for up to one month of free doses of Jivi or Kovaltry.
  • Gap/Bridge Program: Patients using Jivi or Kovaltry should register for this program should they experience a gap in insurance coverage due to change in employment, or if they experience challenges getting factor while on insurance.
  • Questions: Margarita Llibre Rogers, Hemophilia Community Relations (412) 522-9018 margarita.llibrerogers@bayer.com
  • CSL Behring
  • CSL Behring Assurance Program: Contact a CSL Behring Assurance Program Care Coordinator at

1-866-415-2164 www.cslbehringassurance.com

  • CSL Behring Patient Services: 1-844-727-2752 – Helping provide access to therapies for qualified patients who are uninsured or underinsured. We offer reimbursement support, copay assistance if eligible, free trial programs to qualifying new patients and nurse support by phone.
  • CSL Behring’s Center for Patient Support and Resources – This program may provide assistance. Please call 1-(800)-676-4266. https://www.cslbehring.com/patients/support-and-assistance
  • General Questions: Call 1-610-878-4000

CSL Behring, 1020 1st Ave., King of Prussia, PA 19406-0901

  • Genentech – Access Solutions       Financial Assistance Options | HEMLIBRA® (emicizumab-kxwh)www.genentech-access.com/hemlibra: Information related to HEMLIBRA Access and patients inquiring about HEMLIBRA (877) 436-3683. www.HEMLIBRA.COM  1-866-422-2377
  • The Hemlibra Co-pay Program helps people with commercial health insurance. This might be a plan you get through your employer or one you purchased through a Health Insurance Marketplace like HealthCare.gov. To qualify, you must also meet other criteria.
  • Independent Co-pay Assistance Foundations: If you need help with the co-pay for your Genentech medicine, HEMLIBRA Access Solutions can refer you to an independent co-pay assistance foundation. Independent co-pay assistance foundations help patients with public or commercial health insurance. Call HEMLIBRA Access Solutions at (877) 233-3981 for a referral.
  • Genentech Patient Foundation gives free Genentech medicine to people who don’t have insurance coverage or who have financial concerns. Visit https://www.hemlibra.com/patient/patient-resources/financial-support.html for more information. Download Helpful Resources for Patients | Genentech Access Solutions or call (877) 436-3683 for more information.

Grifols

HEMA Biologics

  • For more information about what HEMA Biologics Cares can do for you, go to
    or call 855-718-HEMA (4362) and select Option 3.      www.sevenfact.com
    HEMA Biologics Cares™ assists patients throughout their SEVENFACT experience. They offer information, resources, and financial assistance programs to support and assist patients.
  • SEVENFACT Co-pay Savings Program – If patients qualify for this program, HEMA
  • Biologics Cares can help them receive up to $12,000 in savings per calendar year
  • Patient Assistance Program (PAP) – HEMA Biologics recognizes that not everyone has health insurance. The PAP provides SEVENFACT at no cost to patients who meet certain income requirements
  • Quick Start Program – for patients new to therapy who are experiencing an insurance coverage related delay in getting their prescription, HEMA Biologics may be able to provide SEVENFACT to assist in the interim
  • Bridge Program – for existing SEVENFACT patients who are experiencing a delay in getting their prescription due to a change in insurance coverage, HEMA Biologics may be able to provide SEVENFACT to assist in the interim
  • Benefit investigation/coverage determination – HEMA Biologics can help determine patients’ insurance coverage and what benefits they qualify for.
  • Prior Authorization (PA) support – if insurance requires a PA for SEVENFACT, HEMA Biologics can assist in the process.

Kedrion

  • www.mykoate.com
    1-855-353-7466
  • https://www.kedrion.it/en/support-to-communities/
    https://www.kedrion.us/kedrion-in-the-world/
  • Kedrion Biopharma Reimbursement Assistance
  • The Kedrion Biopharma Customer Service team is available to help patients, families, and healthcare professionals with verifying insurance coverage and benefits for GAMMKED, helping obtain prior authorizations, and with claim denials. Call 1-(855)-353-7466 Ext. 4
    Kedrion Biopharma, Inc., 400 Kelby Street, 11th Floor, Fort Lee, NJ 07024           1-(201) 242-8900

Medexus Pharma

Novo Nordisk

Octapharma

Factor My Way Co-Pay Assistance Program | Factor My Way™   The Factor My Way Assistance Program offers a Co-pay Assistance Program with savings of up to $12,000, a Free-Trial Program for patients with hemophilia A or VWD, Reimbursement for Octapharma Factor Therapy Treatment and a Compassionate Access Program for no cost therapy for eligible patients.

https://www.pfizerhemophiliasupport.com/
Pfizer Hemophilia Connect  – One stop source for all Pfizer Hemophilia resources and support programs. Questions: Call 1-844-989-4366  https://www.pfizerhemophiliasupport.com/hemophilia-connect

  • Trial Prescription Program for Eligible Patients- Allows patients to get a one-time, one-month supply up to 20,000 IU of Pfizer factor product delivered at no cost to him or her. Call Pfizer Hemophilia Connect at 1-844-989-HEMO (4366) or send questions to Pfizer Factor Product Trial Prescription Program, MedVantx, PO Box 5736, Sioux Falls, SD, 57117-5736. For more information or visit the website www.HemophiliaVillage.com
  • Pfizer Factor Savings Card – Up to $12,000 annual support for co-pay, deductible and coinsurance costs. If you have questions, please call 844-989-4366 or send questions to Pfizer Factor Savings Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560, or visit www.HemophiliaVillage.com.
  • Pfizer RxPathways – Pfizer Patient Assistance Program (PAP)

A comprehensive assistance program that provides eligible patients with a range of support services. Effective January 1, 2023, patients applying for PAP must meet income eligibility requirements. Patients with commercial insurance coverage are not eligible for PAP. Call Pfizer Hemophilia Connect at 1-866-706-2400 for more information or visit the website at https://www.pfizerrxpathways.com/updates

  • If you’re having trouble finding the Pfizer program that’s right for you, call 1-844-989-HEMO (4366) and speak with a Medicine Access Counselor who can work with you to map out your path to prescription assistance.

Sanofi:

  • Learn about all the resources, support and financial assistance options available to you at the
    following links. Eligible patients need to be a resident of the United States, you do not have to be a
    citizen of the United States to receive assistance.
                 Phone: 1-833-723-5463
    Email:  MyEloctateCoordinator@sanofi.com or MyAlprolixCoordinator@sanofi.com
    Our goal is to help patients get their Sanofi hemophilia medications as smoothly as possible. Support offered through our programs includes:
    • Free 30-day trial for new patients. Medication delivered generally within 1 to 2 days.
    • Help you understand your prescription insurance coverage
    • Yearly savings up to $20,000 on copay and co-insurance costs
    • Easy participation with a completed Patient Services Enrollment Form
    • Sanofi Co-pay program: https://portal.trialcard.com/sanofi/hem/
    • Sanofi financial assistance: https://www.alprolix.com/financial-support

Takeda (Formerly Shire): Patient Support & Affordability

  • Support Centers: “Takeda Patient Support”
    Website:  https://www.takedapatientsupport.com/s/
    Resources:
    https://www.hematologysupport.com/copay-assistance/
    Phone (888) 229-8379 — Mon-Fri 8:30am-8:00pm — Fax: 1-866-467-7740
    Hematology Support Center:  One-Stop Resource for Hematology Resources (Medical Professionals):
    https://www.hematologysupportpro.com/   1-888-229-8379 (Prompt 1)
  • Assistance Programs – Available to eligible patients who have a US mailing address with no insurance or a gap in coverage (eligibility and application requirements)
  • Help at Hand – Help for patients that lost their insurance coverage HCP would need to fill out the forms but this is why we encourage all patients on Takeda products to sign up at Takeda Support so if they lose their insurance they are already in the system. https://www.helpathandpap.com/
  • Freedom of Choice – Eligible patients can receive free sample dose of eligible Takeda’s hemophilia products along with educational resources.
  • Co-Pay Assistance Program –Non-Financial Needs Based Program (Commercial insurance only)
  • Reimbursement Resources
  • Product Information

Non-Pharmaceutical Assistance

  • Colburn Keenan Foundation: Provides financial assistance programs to individuals and families living with chronic conditions, with priority placed on those living with bleeding disorders.
  • Campership Program – this program helps families send their children to camps that specifically serve children affected by chronic bleeding disorders.  The application can be obtained on our website.  This program is still open and accepting applications.
  • Emergency Assistance Grant Program – individuals and families can apply to us for financial assistance to cover an unexpected bill such as a car repair, appliance repair, high electric bill, etc.  The requested bill must be included with the application.  This program awards up to $750 and applicants are required to have a medical verification form completed.  This application is not on our website, and we depend on you to let individuals/families know about it.  I have attached our 2024 application for this program which includes further details and requirements.  This program is now open, and we will accept applications immediately.
    (Colburn-Keenan resources continued next page)
  • Individual Financial Assistance Grant Program – individuals and families can apply to us for financial assistance, up to $3,000, to meet their urgent medical, basic survival, and quality of life needs.  Due to the large award amounts, this application is quite lengthy, and we do require supporting documentation.  The application can be obtained on our website.  This program is open and accepts applications.
    https://colkeen.org/charitable-giving-programs-overview/
    The Colburn-Keenan Foundation, Inc.
    PO Box 811
    Enfield, CT 06083
    Toll free Phone: 800-966-2431                                 Email: admin@colkeen.org
    Fax: 888-345-0259                                                     www.colkeen.org
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Additional Resources

  • 211 United Way: Provides free and confidential information and referrals to local services including housing, food, employment, healthcare, counseling, and more. Check the website of call your local United Way. Links to additional resources in your local area for specific needs:
  • United Way Worldwide
    701 N. Fairfax Street
    Alexandria, VA 22314
    (703) 836-7112
    www.unitedway.org
    Dial 2-1-1 or call 1-(877)-652-1148
    email: info@NJ211.org
    www.nj211.org
    https://www.211.org/
  • The Assistance Fund: The Assistance Fund (TAF) is an independent charitable assistance foundation that helps patients and families facing high medical out-of-pocket costs by providing financial assistance for their co-payment, co-insurance, deductibles and other health-related expenses. Go to their website to confirm eligibility and other resources.
  • https://tafcares.org

https://enroll.tafcares.org/
Headquarters: The Assistance Fund
8427 Southpark Circle
Orlando, FL 32819
1-855-845-3663

  • HealthWell Foundation: Slogan: When Health Insurance is not enough. Mission Statement: To reduce financial barriers to care for underinsured patients with chronic or life-altering diseases. Healthwell Foundation is an independent non-profit organization providing financial assistance to adults and children to cover the cost of prescription drug coinsurance, copayments, deductibles, health insurance premiums and other selected out-of-pocket health care costs.

Health Well Foundation, PO Box 489, Buckeystown, MD 21717
1-(800) 675-8416
https://www.healthwellfoundation.org/patients/

  • MAT

https://mat.org/
Cost-Saving Programs — Medicine Assistance Tool (MAT)
Worried about affording your medicine? MAT is here to help.
(571) 350-8643

  • Needy Meds: A national non-profit organization that maintains a website of free information on programs that help people who cannot afford medications and other healthcare costs.

Needy Meds, Inc.
PO Box 219
Gloucester, MA 01931
Helpline: 1-800-503-6897
www.needymeds.org
info@needymeds.org

  • New Jersey Children’s System of Care

The State of New Jersey offers behavioral health Resources for Parents and Caregivers through Perform Care.
https://www.performcarenj.org/families/emergency-services.aspx
1-(877)-652-7624

  • Patient Advocate Foundation (PAF): Provides case management and assistance in accessing health insurance. Co-pay assistance programs are available.

PAF – https://www.patientadvocate.org/connect-with-services/
421 Butler Farm Road
Hampton, VA 23666
1-(800)-532-5274
www.patientadvocate.org
help@patientadvocate.org

  • RxHope: A web-based information resource to help low-income US residents access patient assistance programs.

https://www.rxhope.com/about.aspx
https://www.rxhope.com/Pharma/RxHope_You.aspx

  • RxOutreach: A patient assistance program that provides discounts on prescription drugs. A fully licensed non-profit mail order pharmacy.

www.rxoutreach.org
https://rxoutreach.org/patient-assistance-programs/
1-888-796-1234
From your cell phone: 1-314-222-0472

  • Supplemental Nutrition Assistance Program (SNAP) SNAP is New Jersey’s Supplemental Nutrition Assistance Program. SNAP provides food assistance to families with low incomes to help you buy groceries in most food retail stores and some farmers markets. Eligibility is set by several factors, such as income and resources. Not sure if you are eligible? Visit or click https://www.nj.gov/humanservices/njsnap/apply/eligibility/ to learn more about SNAP eligibility or  https://www.njhelps.gov/ to find out if may be eligible for food assistance (SNAP), cash assistance and more.

New Jersey Department of Human Services: (609) 292-3717

  • United Healthcare Children’s Foundation: Provides medical grants to help children gain access to health-related services that are not covered, or not fully covered, by a commercial health insurance plan. You do not need to have United Healthcare to be eligible.
  • UnitedHealthcare Children’s Foundation

MN017-W400
9700 Healthcare Lane
Minnetonka, MN 55343
www.uhccf.org
1-855-698-4223
email: uhccfcustomerservice@uhc.com

  • 988 Suicide and Crisis Lifeline
  • Dial 988 or 1-800-273-8255 for the 988 Suicide and Crisis Lifeline.  988 has been designated as the new three-digit dialing code that will route callers to the National Suicide Prevention Lifeline (now known as the 988 Suicide & Crisis Lifeline). When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary.

Other Mental Health Hotlines

You can always call 211 to speak to someone and find local assistance, but there are also dedicated helplines available to anyone in the U.S.

  • Veterans Crisis Line: call 1-800-273-TALK (8255) and press 1; or text 838255
  • Crisis Text Line: text the word ‘Home’ to 741-741
  • The Trevor Lifeline for LGBTQ Youth: call 1-866-488-7386
  • The Trans Lifeline: call 1-877-565-8860

Updated February 20, 2025

 

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