Adbry

Indicated For

Moderate-to-severe eczema

About This Medication

# Adbry Advocate Program Patient Guide: How to Get Adbry at Low or No Cost ## About This Program The **Adbry Advocate Program**, sponsored by LEO Pharma Inc., helps eligible patients access **Adbry® (tralokinumab-ldrm)**, a prescription medication used to treat moderate-to-severe eczema[1][4]. The program includes multiple assistance options: a Patient Assistance Program for uninsured and underinsured patients, a Rapid Access Program for commercially insured patients, a Bridge Care Program, and a Copay Program to help reduce out-of-pocket costs[4]. ## Who Qualifies You may be eligible for Adbry Advocate if you meet these criteria: - **Age requirement**: You must be at least 12 years old for the prefilled syringe, or 18 years old for the autoinjector[4] - **Prescription requirement**: You must have a valid prescription from your healthcare provider for an approved use of Adbry[4] - **Financial need**: You must demonstrate financial need and have limited or no prescription insurance coverage[3] - **Insurance status**: You are uninsured, underinsured, or a Medicare Part D enrollee who has applied for and been denied the Low Income Subsidy (LIS)[3][4] ## Income Eligibility The Patient Assistance Program is available to patients with household income at or below **600% of the Federal Poverty Level (FPL)**[10]. Use this table to determine if you may qualify: | Household Size | Maximum Annual Income | |---|---| | Individual | $45,180 | | Couple (2 people) | $60,240 | | Family of 3 | $75,300 | | Family of 4 | $90,360 | If your household size is larger than 4, contact the program at **(844) 692-3279** to determine your income threshold[2]. ## Insurance Requirements You may qualify if you fall into one of these categories[4]: - **Uninsured**: You have no prescription drug insurance coverage - **Underinsured**: You have insurance but it does not cover Adbry or your out-of-pocket costs are prohibitively high - **Medicare Part D enrollee**: You have applied for and been denied the Low Income Subsidy (LIS) from Social Security - **Written insurance denial**: Your insurance company has denied coverage for Adbry in writing **Important**: If you may be eligible for Medicaid, you must provide documentation of Medicaid denial before the program can assess your eligibility[3]. ## What You'll Receive Benefits vary by program: - **Patient Assistance Program**: Eligible patients without Medicare Part D coverage receive up to 12 months of Adbry at no cost from the enrollment date. Eligible patients with Medicare Part D coverage receive the product through the end of the coverage year[3] - **Rapid Access Program**: Commercially insured patients receive the initial (loading) dose without charge[4] - **Copay Program**: The current annual maximum benefit is $13,000 per eligible patient[4] ## How to Apply Follow these steps to enroll: **Step 1: Get a Prescription** Talk with your healthcare provider about prescribing Adbry. Your provider will need to complete the Enrollment and Prescription Form[1][2]. **Step 2: Gather Required Documents** Prepare the following: - Completed Enrollment and Prescription Form (signed by your healthcare provider) - Patient Consent Form (you must sign this to complete enrollment)[1][2] - Proof of financial need (such as recent tax returns or pay stubs) - Proof of insurance status (copies of front and back of all medical and prescription insurance cards)[5] - If applicable: Medicaid denial documentation or written insurance denial letter[3][4] **Step 3: Submit Your Application** You can apply through multiple methods: - **Phone**: Call **(844) 692-3279** (844-MY-ADBRY) to speak with a representative[2] - **Online**: Visit the application portal at https://adbryerx.com/#/ - **Mail/Fax**: Your healthcare provider can submit the completed forms via fax to the program's designated service provider **Step 4: Verification and Approval** The program will verify your insurance coverage and assess your financial need. A case manager may contact you to confirm information and answer questions[1]. ## Timeline and Delivery While specific processing times are not publicly listed, the Rapid Access Program is designed for quick access to your initial dose[4]. Once approved, Adbry will be shipped to either your home or your healthcare provider's office for administration[4][5]. ## Refills and Reauthorization Reauthorization is required to continue receiving assistance[3]. You will need to reapply periodically to maintain your eligibility. Your case manager can guide you through the reauthorization process and help ensure continuity of your treatment. ## What If Your Application Is Denied If you are denied enrollment, ask the program why you were ineligible. Common reasons include: - Income exceeding 600% FPL - Failure to provide required Medicaid denial documentation - Eligibility for other government programs You may be able to reapply if your circumstances change, or you may explore other options such as manufacturer copay cards, state pharmaceutical assistance programs, or discussing alternative treatments with your healthcare provider. ## Important Disclaimer This guide provides general information about the Adbry Advocate Program. Program details, eligibility criteria, and benefits may change. For the most current and complete information, contact the program directly at **(844) 692-3279** or visit the official Adbry website. Always consult with your healthcare provider about whether Adbry is appropriate for your medical condition.

Program information last verified: March 25, 2026