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Neurology

Ajovy

Generic: fremanezumab-vfrm

Manufacturer: Teva  ·  Program: Teva Cares Foundation

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Eligibility Criteria

Insurance Requirement

Uninsured or unable to afford; patient must meet insurance criteria

Residency

United States resident

Must meet income criteria; details at TevaCares.org

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • valid prescription

Indicated For

migraine prevention

About This Medication

# Teva Cares Foundation Patient Guide: How to Get Ajovy (fremanezumab-vfrm) at Low or No Cost Ajovy (fremanezumab-vfrm) is a prescription medication used to prevent migraines in adults. The **Teva Cares Foundation** Patient Assistance Program (PAP) provides **Ajovy at no cost** to eligible patients who are uninsured, underinsured, or unable to afford their medication, helping thousands access vital treatments.[2][3] ## About Ajovy **Ajovy** is an injectable CGRP inhibitor that helps reduce the frequency of migraines. Administered monthly or quarterly by subcutaneous injection, it targets the calcitonin gene-related peptide (CGRP) pathway involved in migraine attacks. Always consult your healthcare provider for personalized advice on its use, benefits, and potential side effects like injection site reactions.[3] ## Who Qualifies for Teva Cares Foundation? To qualify, you must meet these key criteria: - Reside in the **United States** or its territories.[1][2] - Have a **valid prescription** from a U.S.-licensed healthcare provider.[1][3] - Meet **income requirements**: For 2026 enrollment, your total pre-tax household income must be at or below **300% of the Federal Poverty Level (FPL)**. Current patients re-enrolling after November 1, 2025, follow this guideline.[1][4] - Satisfy **insurance criteria**: Generally for uninsured or underinsured patients unable to afford Ajovy. Medicare Part D patients may not qualify; those with income <150% FPL need proof of LIS/Extra Help denial.[1][9] The program is free—no application fees, participation costs, or delivery charges.[2] ## Income Eligibility Breakdown Eligibility hinges on household size and income relative to the **2026 Federal Poverty Level (FPL)**. You must provide proof of income for all household members unless opting for electronic verification.[1][4] Here's a table showing maximum annual pre-tax household income at **300% FPL** (approximate; check TevaCares.org or call for exact 2026 figures, as FPL updates yearly): | Household Size | Maximum Annual Income (300% FPL) | |----------------|----------------------------------| | 1 (Individual) | $45,180 | | 2 (Couple) | $61,320 | | 3 | $77,460 | | 4 | $93,600 | | +1 per member | +$16,140 | **Notes**: Income includes all sources (wages, benefits, etc.). Visit TevaCares.org for precise guidelines and updates.[1] ## Insurance Requirements - **Uninsured**: Indicate no coverage on the application.[1] - **Underinsured**: If insurance requires prior authorization (PA) or formulary exception, pursue it first, including appeals if denied. Submit outcome documentation—applications are incomplete without it.[1][4] - **Medicare/Medicaid**: Medicare Part D often disqualifies patients. Those <150% FPL must show LIS/Extra Help denial. Medicaid patients may have restrictions.[1][9] - No employer or insurance plans requiring PAP enrollment as a coverage prerequisite.[2] Your doctor and you complete insurance details on the form.[7] ## Step-by-Step Application Process Applying is straightforward with multiple options. Both you and your physician must sign.[1][4] 1. **Check Eligibility**: Review criteria at TevaCares.org or call **(877) 237-4881** (Mon-Fri, 9 AM–8 PM ET).[2] 2. **Gather Documents**: - Valid Ajovy prescription.[1] - Proof of income (e.g., tax returns, pay stubs, W-2s for all household members).[4][7] - Insurance details or PA denial letter.[1] - LIS denial if applicable (<150% FPL).[1] 3. **Complete Application**: - **Online**: tevacaresportal.org (preferred).[4][9] - **Download**: tevacares.org, fill out patient/physician sections.[1] - **Request by phone**: (877) 237-4881.[2] 4. **Sign Consents**: Patient certification, authorization for health info, electronic income consent (optional).[4] 5. **Submit**: - Fax: **877-438-4404**.[4][7] - Mail: Teva Cares Foundation, P.O. Box 501827, San Diego, CA 92150.[4][9] - Physician completes prescribing/shipment info.[7] **Tip**: Complete everything to avoid delays—missing docs halt processing.[4] ## Timeline and Delivery Processing time varies (not specified; typically weeks). Expect medication **shipped directly to your home** at no cost once approved.[2][9] New enrollment covers up to **12 months**; reapply annually with updated finances.[8] Refills require reorder form.[8] ## Alternatives if Denied - **Other Teva Programs**: Check brand site or call 888-TEVA USA (888-838-2872) for savings cards or copay help if ineligible for PAP.[5] - **General Resources**: Explore RxAssist.org, NeedyMeds, or Partnership for Prescription Assistance. - **Appeal**: Contact Teva Cares if income/insurance issues; reapply with better docs. - **No biosimilars** listed for Ajovy currently.[program data] ## Disclaimer This guide summarizes Teva Cares Foundation info as of available data. Eligibility, FPL, and rules change—verify at **TevaCares.org** or **(877) 237-4881**. Not medical/financial advice; consult your doctor and advisor. Program not guaranteed; Teva Cares is independent.[1][2] Word count: ~950.

Program information last verified: March 30, 2026

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