Bevespi Aerosphere

Indicated For

Chronic obstructive pulmonary disease (COPD)

About This Medication

# Viatris Patient Assistance Program Patient Guide: How to Get Bevespi Aerosphere at Low or No Cost Bevespi Aerosphere (glycopyrrolate/formoterol fumarate) is a prescription inhaler used to control and prevent symptoms of chronic obstructive pulmonary disease (COPD), such as chronic bronchitis and emphysema. The **Viatris Patient Assistance Program** offers this medication **free of charge** to eligible U.S. patients with demonstrated financial need who are uninsured or lack prescription drug coverage.[1][2] ## About Bevespi Aerosphere **Bevespi Aerosphere** combines two bronchodilators: glycopyrrolate (an anticholinergic) and formoterol fumarate (a long-acting beta2-adrenergic agonist, or LABA). It works by relaxing muscles in the airways to improve breathing, reduce flare-ups, and enhance lung function in COPD patients. Administered as two inhalations twice daily, it helps manage daily symptoms and prevents exacerbations. Always use as prescribed by your doctor, and note it is not for asthma or sudden breathing emergencies—use a rescue inhaler for those.[1] This guide explains how to access **Bevespi Aerosphere** through the Viatris Patient Assistance Program (PAP), a free service providing medications to those who qualify based on financial and insurance criteria. The program ensures eligible patients receive up to 12 months of treatment, including 11 refills per enrollment.[3][6] ## Who Qualifies for the Program? Eligibility focuses on residency, insurance status, financial need, and medical requirements: - **U.S. Residency**: You must live in the United States or U.S. territories.[2][3] - **Insurance Status**: You must be **fully uninsured** or have **no prescription drug coverage**. Medicare Part D, Medicaid, Medicare Advantage, TriCare, or any drug insurance disqualifies you.[2][3][7][8] - **Financial Need**: Applicants must meet Viatris's **financial requirements**, assessed individually based on household income, size, and other factors provided in the application. Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed but evaluated case-by-case.[2][3] - **Prescription**: The drug must be prescribed by a licensed U.S. healthcare provider for an FDA-approved use (COPD for Bevespi Aerosphere).[2][3] **Note**: Each application is reviewed individually. Incomplete forms delay or prevent approval.[2][3] ## Income Eligibility Breakdown Viatris does not publish fixed income thresholds online, stating only that applicants must "qualify for the program financial requirements." Eligibility is determined holistically, considering total household income, expenses, and assets via the application form.[2][3] Here's a general overview based on similar programs (consult Viatris for your case): | Household Size | Estimated Max Annual Income (e.g., ~400-500% FPL)* | Notes | |---------------|----------------------------------------------------|-------| | 1 | $60,000 - $75,000 | Assessed individually; proof like tax returns may be needed. | | 2 | $80,000 - $100,000 | Includes dependents; higher for larger families. | | 3 | $100,000 - $125,000 | Viatris reviews full financial picture. | | 4 | $120,000 - $150,000 | Add ~$20,000-$25,000 per additional member. | | 5+ | Varies | Contact program for details. | *Estimates derived from common PAP standards; **call (888) 417-5780** to confirm your situation. Provide recent tax returns, pay stubs, or a notarized income statement.[2][3][5] ## Insurance Requirements The program requires **no prescription drug insurance**. If you have any coverage—including Medicare Part D, Medicaid, or employer plans—you do not qualify.[2][3][7] "Demonstrated financial need" means proving inability to afford the medication despite income. Viatris verifies insurance status and may contact your provider.[2][3] Medicare patients are typically ineligible unless in rare state-specific programs (not standard for Bevespi).[4] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Call **(888) 417-5780** (M-F, 8AM-5PM CST/EST) to check if Bevespi Aerosphere is covered and discuss your situation.[1][5][6] 2. **Get the Application**: Download from viatris.com or request via phone. Your doctor must complete the prescriber section.[2][3] 3. **Fill Out Completely**: Include patient info (name, address, DOB, income), prescriber details (name, NPI, contact), and signatures from both. Authorize Viatris to verify insurance/finances.[2][3] 4. **Gather Documents**: Application requires full completion; additional proofs like tax returns or income statements may be requested.[2][3] 5. **Submit**: Fax to 866-792-7945 or 877-427-7290, or email ViatrisPAP@CardinalHealth.com or ViatrisPAP@viatris.com. Phone applications start via (888) 417-5780.[2][3][5][6] 6. **Follow Up**: Track status by calling. They'll notify if more info is needed within 5 business days.[4] ## Timeline and Delivery Processing varies: Expect notification within 3-5 business days of complete submission; additional docs may extend this.[4] Once approved, medication ships **free to your doctor's office** for pickup/dispensing.[8] Coverage lasts **12 months** with up to **11 refills**—your doctor submits a Replenishment Authorization Form for refills.[3][6][8] No specific delivery timeline post-approval, but aim to apply early to avoid gaps. ## Alternatives if Denied or Ineligible - **Contact Viatris**: Ask for denial reasons and reapply with fixes (e.g., updated income proof).[2] - **Other PAPs**: Check NeedyMeds.org or RxAssist.org for COPD inhaler programs.[5][7] - **Copay Cards/Savings**: If insured, Viatris may offer copay assistance via Viatris Advocate (separate from PAP).[10] - **Generic Options**: Discuss budesonide/formoterol or other LABA/LAMA inhalers with your doctor. - **State Programs**: Colorado insulin-like aid exists for some, but check for COPD.[4] - **Manufacturer Site**: Explore viatris.com for Bevespi-specific support.[1] ## Important Disclaimer This guide is for informational purposes based on publicly available Viatris PAP details as of 2026. Eligibility, processes, and availability can change—**always verify with Viatris at (888) 417-5780**. This is not medical or legal advice. Consult your healthcare provider before starting/stopping Bevespi Aerosphere. Viatris makes no guarantees of approval; applications do not ensure assistance.[2][3] Word count: 1028.

Program information last verified: March 30, 2026