Attruby

Indicated For

ATTR-CM, cardiomyopathy of wild-type or variant transthyretin-mediated amyloidosis

About This Medication

# ForgingBridges Patient Assistance Program Patient Guide: How to Get Attruby (acoramidis) at Low or No Cost Attruby (acoramidis) is a prescription medication used to treat transthyretin amyloid cardiomyopathy (ATTR-CM), a serious heart condition where abnormal proteins build up in the heart, making it harder to pump blood effectively. The **ForgingBridges Patient Assistance Program (PAP)** from BridgeBio Pharma Inc. provides **Attruby at no cost** to eligible patients who are uninsured, underinsured, or cannot afford their medication.[1][3][8] ## Who Qualifies for the ForgingBridges PAP? This program is designed for patients facing financial hardship with Attruby. You may qualify if you: - Have **no health insurance** or insufficient coverage for Attruby. - Have received an **insurance appeal denial**. - Meet **certain income criteria** (specific details not publicly listed; call to confirm).[1][3] **Important**: This PAP is separate from the copay program, which is for commercially insured patients only (excludes Medicare, Medicaid, and other government programs).[1][3][6] The PAP targets those without adequate insurance or who can't afford costs.[3] ## About Attruby (acoramidis) Attruby is a **transthyretin stabilizer** approved for adults with symptomatic ATTR-CM to reduce cardiovascular events and cardiovascular mortality. ATTR-CM affects the heart's ability to pump blood due to amyloid protein deposits. Common side effects include urinary tract infections, fatigue, and cardiac failure. Always take as prescribed—typically 200 mg capsules twice daily with food. Discuss with your doctor if you have kidney issues or are pregnant/breastfeeding.[1][7][8] Your doctor will monitor your progress with tests like echocardiograms or blood work. ForgingBridges offers ongoing support through **Patient Access Liaisons (PALs)** to help with treatment adherence.[4][7] ## Income Eligibility Breakdown Specific income thresholds (e.g., Federal Poverty Level percentages) are **not publicly detailed** on the ForgingBridges website. Eligibility is **needs-based** for patients who cannot afford Attruby.[1][3] Contact the program at **1-888-552-7434** (Mon–Fri, 8 AM–8 PM ET) for personalized assessment.[1][2] Here's a general overview based on program notes: | Household Size | Estimated Threshold | Notes | |---------------|---------------------|-------| | Individual | Not specified | Must demonstrate financial need[1][3] | | Couple | Not specified | Income criteria apply[1] | | Family of 3 | Not specified | Call for details[3] | | Family of 4+ | Not specified | U.S. residents/Puerto Rico only[3] | **Pro Tip**: Programs like this often use 400-500% of the Federal Poverty Level (FPL), but confirm directly as rules change.[3] ## Insurance Requirements - **Eligible**: Uninsured, underinsured, Medicare/Medicaid patients who can't afford medication, or those with coverage denials.[1][3][4] - **Not Eligible for PAP**: Commercially insured patients should use the **Copay Assistance Program** (as low as $0 copay, max 13 fills/year, excludes government insurance).[1][6] - If denied coverage, ForgingBridges helps with **appeals** (90% Medicare success rate as of Aug 2025).[4] - **QuickStart Program**: Free limited supply during insurance delays.[1][8] Provide a copy of your insurance card (front/back) if applicable.[2] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Ask them to prescribe Attruby and complete the **ForgingBridges Support Program Start Form** (pages 2-3). Include your demographics, ICD-10 diagnosis code, insurance info, and their signature.[2][3][5] 2. **Gather Documents**: - Doctor-completed Start Form. - Copy of insurance/prescription card(s) (if any). - Patient consent signature (page 2 or eConsent).[2][3] 3. **Submit the Form**: - **Fax**: 1-877-738-0545.[2][3][5] - **Online**: ForgingBridges.iassist.com/enrollment or QR code.[2][3] - **ePrescribe**: Select Attruby and RareMed Solutions (NPI: 1043877996).[5] 4. **Sign Consent**: Complete Patient Consent section or eConsent at ForgingBridges.iassist.com/patient.[2][5] 5. **Wait for Approval**: A Patient Access Liaison (PAL) will contact you.[4][7] Call **1-888-552-7434** for help anytime.[1][2] ## Timeline and Delivery - **Processing Time**: Not specified; expect contact from PAL soon after submission. QuickStart offers rapid access during delays.[1][8] - **Delivery**: Medication **shipped directly to your home** at no cost if approved.[3] - **Support**: PALs assist with refills, insurance navigation, and staying on track.[4][7] ## Alternatives if Denied - **Copay Program**: For commercial insurance (not government).[1][6] - **Free Trial**: 1-month supply for new patients (no signature needed).[1] - **QuickStart**: Limited free supply for delays.[1][8] - **Independent Foundations**: For other costs (separate applications).[1] - **Appeal Insurance Denial**: ForgingBridges helps; high Medicare success.[4] - Reapply or call for review.[3] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Eligibility, terms, and benefits can change. **Always verify with ForgingBridges at 1-888-552-7434 or ForgingBridges.com**. Not affiliated with government programs. BridgeBio/ForgingBridges reserves rights to modify/terminate. Consult your doctor before starting Attruby. Not medical/financial advice.

Program information last verified: March 30, 2026