Arixtra

Indicated For

DVT prophylaxis, PE prophylaxis, ACS prophylaxis

About This Medication

# Viatris Patient Assistance Program Patient Guide: How to Get Arixtra (fondaparinux) at Low or No Cost Arixtra (fondaparinux) is a prescription anticoagulant medication used to prevent and treat blood clots, such as deep vein thrombosis (DVT) and pulmonary embolism (PE), particularly after certain surgeries or in hospitalized patients at risk.[1] The **Viatris Patient Assistance Program (PAP)** offers **Arixtra at no cost** to eligible patients who are fully uninsured and demonstrate financial need, helping those who cannot afford their medication access life-saving treatment without financial burden.[1][2] ## Who Qualifies for the Program? The Viatris PAP is designed for patients facing significant financial hardship. To qualify, you must meet **all** of these key criteria: - **Residency**: Be a current resident of the United States or U.S. territories (including Puerto Rico).[2][3][6] - **Insurance Status**: Be **fully uninsured** with **no prescription drug coverage**. This means no private insurance, Medicare Part D, Medicaid, Tricare, or any other drug benefits. If you have any prescription insurance, you do not qualify.[2][3][7] - **Financial Need**: Demonstrate financial hardship based on income and household information provided on the application. Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly listed; eligibility is assessed individually.[1][2] - **Prescription**: Have a valid prescription for **Arixtra (fondaparinux)** from a licensed U.S. healthcare professional for an FDA-approved use.[2][3] - **Age and Citizenship**: Generally open to all ages, but no citizenship requirement beyond U.S. residency.[6] **Important Note**: Each application is reviewed individually. Even if you meet basic criteria, approval is not guaranteed.[2][3] ## About Arixtra (fondaparinux) **Arixtra** is an injectable anticoagulant (blood thinner) that helps prevent harmful blood clots from forming. It's commonly prescribed for: - Preventing DVT and PE after hip fracture, hip replacement, knee replacement, or abdominal surgery. - Treating acute DVT or PE when used with warfarin. - Preventing clots in hospitalized patients with restricted mobility. Administered as a subcutaneous (under-the-skin) injection once daily, Arixtra works by selectively inhibiting **factor Xa**, a key protein in the clotting process. Common side effects include bleeding, anemia, and injection site reactions. Always follow your doctor's instructions, and seek immediate medical help for signs of bleeding (e.g., unusual bruising, blood in urine/stool).[1] This program provides the medication **free** to eligible patients, covering up to 12 months with 11 refills per enrollment.[3][6] ## Income Eligibility Breakdown Viatris does not publish fixed income limits online, such as specific Federal Poverty Level (FPL) percentages. Instead, they evaluate **demonstrated financial need** based on your household income, size, expenses, and other factors submitted on the application.[1][2] This flexible approach allows case-by-case assessment. Here's a general guide to what to expect (based on similar programs; confirm with Viatris): | Household Size | Estimated Max Annual Income (300% FPL example)* | Notes | |---------------|------------------------------------------------|-------| | 1 (Individual) | ~$45,000 | Assessed individually; provide pay stubs, tax returns. | | 2 (Couple) | ~$61,000 | Include all household income sources. | | 3 | ~$77,000 | Proof of residency required. | | 4 | ~$92,000 | Larger families may qualify higher. | *These are illustrative based on 2026 FPL estimates; actual thresholds vary. Call (888) 417-5780 for your situation.[1][2] ## Insurance Requirements You **must be fully uninsured** for prescription drugs—no Medicare, Medicaid, commercial insurance, or any coverage that pays for medications.[2][3][7] Patients with Medicare (including Part D) or any pharmacy benefit do not qualify for this PAP.[9] If you're underinsured or have coverage, explore other Viatris savings options like copay cards (not available for Arixtra via this program).[10] ## Step-by-Step Application Process Applying is straightforward but requires completeness to avoid delays. Multiple methods are available.[1][2] 1. **Gather Documents**: - Proof of income (e.g., pay stubs, tax returns, W-2s for the past year). - Valid prescription for Arixtra from your doctor. - Proof of residency (e.g., driver's license, utility bill, or notarized statement).[2][9] - Patient and prescriber signatures.[3] 2. **Download or Request Form**: Visit viatris.com/patient-assistance or call (888) 417-5780 (M-F, 8AM-5PM CST/EST) to confirm Arixtra eligibility and get the form.[1][5] 3. **Complete the Application**: Fill out patient info, prescriber details (name, NPI, contact), income, insurance status (mark 'none'), and sign. Your doctor must certify the prescription.[2][3] 4. **Submit**: - **Phone Support**: (888) 417-5780.[1] - **Fax**: 866-792-7945 or 877-427-7290 (varies by form).[2][5] - **Email**: ViatrisPAP@Cardinalhealth.com or ViatrisPAP@viatris.com.[2][3] 5. **Follow Up**: Applications must be complete; incomplete ones are rejected. They'll contact you if more info is needed.[2] ## Timeline and Delivery - **Processing**: Viatris notifies you within 5 business days if additional info is required. Decisions typically follow shortly after (3-5 business days for complete apps).[4] - **Approval Duration**: Up to **12 months** with **11 refills**. Medication ships **free to your doctor's office** for dispensing.[3][6][9] - **Reauthorization**: Yes, required annually—submit a new or replenishment form.[3][9] ## Alternatives if Denied or Ineligible - **Appeal**: Contact (888) 417-5780 to discuss reasons and resubmit with more docs.[1] - **Other Assistance**: Check NeedyMeds.org, RxAssist.org, or state programs. For insured patients, ask about manufacturer copay cards or 340B clinics.[5][7] - **Generic Options**: No biosimilars listed for Arixtra; discuss enoxaparin (Lovenox) with your doctor.[1] - **Community Resources**: Free clinics, patient access foundations like PAN Foundation. ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, processes, and availability can change—**always verify directly with Viatris at (888) 417-5780 or viatris.com**.[1][2] This is not medical advice; consult your healthcare provider for treatment decisions. Viatris reserves the right to modify the program. Approval not guaranteed.[3]

Program information last verified: March 30, 2026