Adempas

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):

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]