ALKINDI SPRINKLE

Indicated For

pediatric adrenocortical insufficiency, congenital adrenal hyperplasia

About This Medication

# Eton Cares Patient Assistance Program Patient Guide: How to Get ALKINDI SPRINKLE at Low or No Cost ALKINDI SPRINKLE (hydrocortisone oral granules) is a corticosteroid medication approved for **replacement therapy in pediatric patients with adrenocortical insufficiency**, a condition where the adrenal glands do not produce enough cortisol.[1] The **Eton Cares Patient Assistance Program** from Eton Pharmaceuticals helps **uninsured patients or those denied insurance coverage** who meet financial requirements access this important medicine at low or no cost through free medication shipped via Anovo Specialty Pharmacy.[1][2] ## About ALKINDI SPRINKLE ALKINDI SPRINKLE provides hydrocortisone in easy-to-administer oral granules, ideal for children who cannot swallow pills. It treats **adrenocortical insufficiency** by replacing missing cortisol, helping manage symptoms like fatigue, low blood pressure, and stress responses. **Key instructions**: Use the minimum dose for clinical response, increase during stress (e.g., illness), and switch to injectable corticosteroids if vomiting or severely ill. Contact your healthcare provider if a full dose isn't given, as a repeat may be needed. It's contraindicated in patients with hypersensitivity to hydrocortisone or ingredients.[1] Eton Cares supports the entire journey: automatic enrollment for benefits investigation, prior authorization help, copay assistance (as low as $0 for eligible commercially insured), bridge programs for quick starts, and the Patient Assistance Program (PAP) for financial need.[1][2] ## Who Qualifies for the Eton Cares Patient Assistance Program? This program targets **patients without insurance** who meet **certain financial requirements**. Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed but are assessed case-by-case. You're likely eligible if: - Your household lacks prescription coverage for ALKINDI SPRINKLE. - You've been denied insurance coverage. - Your income qualifies as low-income per program criteria. **Commercially insured patients** may access $0 copay support instead (restrictions apply).[1][2] Medicare or other insured patients should check benefits first, as PAP is primarily for uninsured. ## Income Eligibility Breakdown Detailed income limits aren't specified online, but programs like this often use **400% of the Federal Poverty Level (FPL)** or similar. Contact the program for your situation. Here's a general FPL reference table for 2026 (approximate; verify current guidelines): | Household Size | 100% FPL | 300% FPL | 400% FPL | |----------------|----------|----------|----------| | 1 (Individual) | $15,060 | $45,180 | $60,240 | | 2 (Couple) | $20,440 | $61,320 | $81,760 | | 3 | $25,820 | $77,460 | $103,280| | 4 | $31,200 | $93,600 | $124,800| *Notes: Add ~$5,380 per additional person. Eton Cares PAP eligibility is 'certain financial requirements'—call to confirm.[1][2] This table is illustrative; actual thresholds may vary.* ## Insurance Requirements - **Uninsured**: Primary candidates for PAP if financially eligible. - **Denied coverage**: Submit denial proof. - **Commercially insured**: Use copay card ($0/month possible).[1] - **Medicare/Government insurance**: Typically ineligible for PAP; explore benefits or appeals first.[2] Insurance Specialists help verify coverage, file prior authorizations, and transition to PAP if needed.[1][2] ## Step-by-Step Application Process 1. **Get Prescribed**: Ask your doctor to send the prescription to **Anovo Specialty Pharmacy** (automatically enrolls you in Eton Cares).[2] 2. **Benefits Check (Within 3 Days)**: Pharmacist calls to start; Nurse Ambassador follows up before shipping.[1][2] 3. **For PAP**: If uninsured/denied and low-income, complete **ALKINDI SPRINKLE Patient Referral Form** with prescription details. Your doctor or pharmacy assists.[1] 4. **Submit Documents**: Fax/mail form, proof of income (e.g., tax returns, pay stubs), residency, and denial letter if applicable. 5. **Approval**: Processed in **3-7 days**.[1] 6. **Receive Meds**: Shipped free to your home via Anovo.[1][2] Call **(833) 343-2500** (M-F, 8AM-5PM CT) or **(901) 201-5470** for support. Save these numbers![2] ## Timeline and Delivery - **Quick Start/Bridge**: 30-day supply in **as soon as 24 hours** at no cost while investigating benefits.[1] - **PAP Processing**: **3-7 days**.[1] - **Delivery**: Direct to patient via Anovo; pharmacists send refill reminders 7 days early, 24/7 support.[1][2] - **Refills**: Pharmacist calls ahead; reapplication may be needed periodically. ## Alternatives if Denied - **Appeal Insurance Denial**: Eton Cares helps with prior authorizations/appeals.[1] - **Copay Program**: For insured ($0 possible).[1] - **Other Assistance**: Referrals to state programs, foundations, or generics (no biosimilars listed).[2] - **Contact Eton Cares** for custom options. ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. **Eligibility, terms, and availability can change**—always verify with Eton Cares at (833) 343-2500 or your healthcare provider. Not a substitute for medical advice. Restrictions, limitations, and eligibility requirements apply. See full Prescribing Information for ALKINDI SPRINKLE safety info.[1][2] *(Word count: 942)*

Program information last verified: March 30, 2026