Adempas

Indicated For

PAH, CTEPH

About This Medication

# Bayer US Patient Assistance Foundation Patient Guide: How to Get Adempas (riociguat) at Low or No Cost Adempas (riociguat) is a prescription medication used to treat certain serious lung conditions, and the **Bayer US Patient Assistance Foundation** offers it **at no cost** to eligible uninsured or underinsured patients facing financial hardship.[1][2][7] This guide explains everything you need to know about qualifying, applying, and getting your medication. ## About Adempas (riociguat) **Adempas** is a tablet taken by mouth to improve exercise ability and delay disease worsening in adults with **chronic thromboembolic pulmonary hypertension (CTEPH)** after surgery or if surgery isn't possible, and in adults with **persistent or recurrent CTEPH** after surgery, or **pulmonary arterial hypertension (PAH)**.[1][2][5] It works by relaxing blood vessels in the lungs to reduce high blood pressure there, making it easier for your heart to pump blood. Dosing starts low (often 1 mg three times daily) and may increase based on your doctor's titration schedule.[1] All patients and prescribers must enroll in the **Adempas REMS program** due to risks like low blood pressure or harm to unborn babies—your doctor will guide you on this.[4][6] **Important safety note**: Adempas has a Risk Evaluation and Mitigation Strategy (REMS) program. Females must use contraception, and pregnancy testing is required. Discuss risks with your doctor.[6] ## Who Qualifies for the Program? The Bayer US Patient Assistance Foundation helps **eligible patients** in the United States or Puerto Rico who: - Live in the US or Puerto Rico. - Meet **financial income criteria** (specific limits based on household size and federal poverty level, though exact percentages aren't publicly detailed—call to confirm).[1][3][7] - Are **uninsured** or **underinsured**, meaning your insurance doesn't cover Adempas or you can't afford copays.[1][2][3] - Have **no other ways to pay** for the medication and aren't in alternative funding programs that require PAP application.[1] This is **not** for commercially insured patients with copay help available—those may qualify for separate Bayer copay programs instead.[4] ## Income Eligibility Breakdown Exact income thresholds aren't listed publicly and depend on household size relative to the **Federal Poverty Level (FPL)**. You must provide **proof of income** to verify.[1][3] Generally, it's for low-income households. Use this table as a guide (call **(866) 228-7723** for your exact eligibility based on current FPL): | Household Size | Estimated Max Income (e.g., ~400% FPL, varies yearly) | Notes | |---------------|-------------------------------------------------------|-------| | 1 (Individual) | ~$60,000 (check current FPL) | Proof required: tax returns, pay stubs. | | 2 (Couple) | ~$80,000 | Includes all household income. | | 3 | ~$100,000 | Assets may be considered. | | 4+ | Add ~$20,000 per person | Call for precise limits. | *Table is illustrative; program uses specific FPL %—contact program for 2026 guidelines.*[1][3] Medicare Part D patients under 150% FPL must show **denial from Low-Income Subsidy (LIS/Extra Help)** first.[1] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met.[1][3] - **Underinsured**: Eligible if Adempas isn't covered or unaffordable.[1][2] - **Medicare Part D/Advantage**: Eligible, but year starts **January 1**. LIS-eligible (age 65+, income <150% FPL) need **proof of Extra Help denial**.[1][5] - **Commercial/Employer insurance**: May not qualify if in alternative funding; try copay program first (up to $50,000/year, call 1-855-423-3672).[1][4] Adempas must be from **Accredo or CVS Specialty Pharmacy**.[4] ## Step-by-Step Application Process 1. **Check eligibility**: Call **(866) 228-7723** (Mon-Fri, 9 AM-6 PM EST) or visit www.patientassistance.bayer.us.[1][3][7] 2. **Gather documents**: - **Proof of income** (tax return, W-2, pay stubs, SSI/SSDI award).[1][3] - **Proof of residency** (utility bill, lease).[1] - **Prescription** from your doctor (include starting dose/titration).[1] - **Insurance info** (card, denial letter if applicable).[1] 3. **Complete application**: - **Patient section**: You or caregiver fills pages 2-5.[3] - **Doctor/HCP section**: Doctor completes/signs page 6.[1][3] - Download from www.patientassistance.bayer.us.[1] 4. **Make a copy** for your records.[1][3] 5. **Submit**: - **Phone start**: Call (866) 228-7723.[1] - **Fax**: 1-866-575-6568 - **Mail**: Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255[1][3] 6. **Enroll in Adempas REMS**: Doctor handles via www.AdempasREMS.com.[6] **Tip**: Use the checklist on page 7 of the form.[3] ## Timeline and Delivery Processing time isn't specified—expect **weeks**; call for status.[1] Once approved, medication is **shipped free to your home** for **1 year** (Medicare starts Jan 1).[2][5] **Reauthorization required** annually—resubmit before end.[1] ## Alternatives if Denied or Ineligible - **Copay program**: For commercial insurance, up to 100% copay/coinsurance ($50K max, 12 fills/year). Call 1-855-423-3672.[4] - **Aim Support Center**: Benefits verification, nurse support. Call 1-855-423-3672.[2][6] - **Extra Help (LIS)**: For Medicare, apply at SSA.gov.[1] - **PH Association resources**: phassociation.org.[5] - **State programs** or **NeedyMeds.org** for more options. No biosimilars available.[ ] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, rules, and forms can change—**always verify with Bayer at (866) 228-7723** or www.patientassistance.bayer.us. Not medical advice; consult your doctor. Bayer doesn't guarantee approval. Program separate from copay/REMS.[1][2][3][4]

Program information last verified: March 30, 2026