Alhemo

Indicated For

hemophilia A, hemophilia B

About This Medication

# HemAssist Patient Assistance Program Patient Guide: How to Get Alhemo (fitusiran) at Low or No Cost Alhemo (fitusiran) is an innovative treatment for hemophilia A or B with inhibitors or for those with severe hemophilia who need prophylactic therapy. The **HemAssist Patient Assistance Program** from **Sanofi** helps eligible patients—particularly those who are uninsured, underinsured, or facing temporary insurance loss—access this medication at low or no cost by covering out-of-pocket expenses. ## About Alhemo (fitusiran) Alhemo, also known as fitusiran, is a subcutaneous injection approved for adults and children with hemophilia A or B who have developed inhibitors (antibodies that reduce clotting factor effectiveness) or for those without inhibitors requiring routine prophylaxis to prevent bleeding episodes. Unlike traditional clotting factors, fitusiran works by inhibiting antithrombin, a protein that hinders clotting, thereby promoting natural hemostasis. It's typically administered monthly, offering convenience over frequent infusions. Always consult your healthcare provider (HCP) for personalized dosing and monitoring, as it requires regular factor VIII activity checks to avoid thrombosis risks.[1][6] HemAssist provides comprehensive support beyond free or low-cost medication, including insurance navigation, education on your condition, injection training, and help with life transitions. This guide focuses on the Patient Assistance Program (PAP) for financial help.[1][2][7] ## Who Qualifies for HemAssist Patient Assistance? The program targets patients with a valid Alhemo prescription facing financial barriers. Key eligibility: - **Uninsured, underinsured, or temporary insurance loss**: Ideal for those without coverage or with high out-of-pocket costs.[7] - **U.S. residents** under a licensed HCP's care. - **Income verification required**: While specific Federal Poverty Level (FPL) thresholds aren't publicly detailed, programs like this often assess based on household income, size, and expenses. Contact HemAssist for your situation.[4][9] **Not eligible** if enrolled in government programs like Medicare (including Part D), Medicaid, Medigap, VA, DoD, TRICARE, or state assistance paying for your prescription.[1][2][3] ### Income Eligibility Breakdown Exact income limits aren't specified online, as eligibility is case-by-case with required proof. Here's a general table based on similar Sanofi programs (confirm with HemAssist at 1-833-723-5463): | Household Size | Estimated Max Annual Income (e.g., 400-500% FPL)* | |----------------|-------------------------------------------------| | 1 (Individual) | $60,000 - $75,000 | | 2 (Couple) | $80,000 - $100,000 | | 3 | $100,000 - $125,000 | | 4 | $120,000 - $150,000 | *Estimates; actuals vary. Provide W-2, 1040, or paystubs for verification. No income caps for copay help if commercially insured, but PAP is needs-based.[1][2][4] ## Insurance Requirements - **Commercial insurance**: May qualify for copay assistance (up to $25,000/year savings, as low as $0 copay).[3] - **Uninsured/underinsured**: Primary PAP targets these, plus Bridge Program for coverage gaps.[3][7] - **Government insurance exclusion**: Cannot use if Medicare/Medicaid etc. covers any part.[1][2] HemAssist investigates your coverage, summarizes benefits, and flags prior authorizations.[1][2] ## Step-by-Step Application Process Enrollment is straightforward with multiple options. Allow time for your HCP's involvement.[1][5] 1. **Get a prescription**: Ensure your HCP prescribes Alhemo (fitusiran). 2. **Choose enrollment method**: - **Online**: Visit SanofiHemAssist.com, provide consent if able.[1][5] - **With HCP**: Download form, have HCP complete/fax to 1-855-398-7634 (or specific fax per drug).[1] - **Phone**: Call 1-833-723-5463 (Mon-Fri 8AM-7PM ET) for help.[1][2] 3. **Complete form**: Include patient info (name, DOB, last 4 SSN digits, address), income proof (W-2/1040/paystub), HCP details (NPI, signature), and consents.[4] 4. **Submit**: Fax, mail, or online. HemAssist contacts for consent if needed.[1] 5. **Welcome & verification**: Case Manager calls, verifies insurance/income.[1][2] 6. **Approval & shipment**: If eligible, medication ships via specialty pharmacy or direct.[1] ## Timeline and Delivery - **Processing**: Varies; expect welcome call soon after submission. Insurance check is quick.[1] - **Delivery**: Coordinated to home or pharmacy; Bridge Program for urgent needs.[3] - **Support ongoing**: Education, training provided.[2] ## Alternatives if Denied - **Appeal**: Contact Case Manager to discuss reasons (e.g., income, insurance).[1] - **Copay program**: If commercially insured.[3] - **Other resources**: Sanofi Patient Connection (separate PAP, fax 1-888-847-1797), state programs, or nonprofits like Patient Access Network. Explore biosimilars (none listed for fitusiran).[9] - **Reapply**: If circumstances change (e.g., job loss).[7] ## Important Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Program terms can change; Sanofi reserves rights to modify/terminate without notice. Not valid where prohibited. Consult HemAssist (1-833-723-5463) or your HCP for latest details. Not tax/medical advice. Free products can't be submitted for reimbursement.[1][2][3] (Word count: 950)

Program information last verified: March 30, 2026