BiDil

Indicated For

heart failure

About This Medication

# BiDil Patient Assistance Programs: How to Get Your Heart Failure Medication at Low or No Cost ## About BiDil BiDil (isosorbide dinitrate and hydralazine hydrochloride) is a prescription medication approved by the FDA to treat heart failure in Black patients. When used alongside other heart failure medicines, BiDil helps improve survival, reduce heart failure symptoms, and help patients stay out of the hospital longer. The medication combines two vasodilator drugs that work together to improve heart function. ## Available Patient Assistance Programs Three patient assistance programs can help you access BiDil at reduced or no cost: ### 1. Arbor Pharmaceuticals Patient Assistance Program This program provides free or low-cost BiDil to uninsured and underinsured patients. **Contact Information:** - Phone: (888) 417-7153 - Fax: (406) 641-9566 - Mailing Address: 951 Clint Moore Road, Suite A, Boca Raton, FL 33487 ### 2. Patient Access Network Foundation (PAN) This copay assistance program helps patients with active health insurance reduce their medication costs. **Contact Information:** - Phone: (866) 316-7263 - Fax: (866) 316-7263 - Mailing Address: PO Box 221858, Charlotte, NC 28222 ### 3. Xubex Pharmaceutical Services This program offers assistance regardless of insurance status and has no income limits. **Contact Information:** - Phone: (866) 699-8239 - Fax: (407) 671-7960 - Mailing Address: PO Box 1244, Winter Park, FL 32790-1244 ## Who Qualifies ### Arbor Pharmaceuticals Program You may qualify if you: - Are uninsured or underinsured - Have a medically appropriate heart failure diagnosis - Are a US resident - Are a Medicare Part D patient who has been denied or is ineligible for Low Income Subsidy ### Patient Access Network Foundation (PAN) You may qualify if you: - Have active health insurance that covers BiDil - Have a household income at or below 400-500% of the federal poverty level - Have a medically appropriate heart failure diagnosis - Are a US resident receiving treatment in the US - Are a Medicare Part D patient (considered on a case-by-case basis) ### Xubex Pharmaceutical Services You may qualify if you: - Are a US resident - Have any insurance status (insured or uninsured) - Have no income limits to meet ## Income Eligibility Income requirements vary by program. The Patient Access Network Foundation uses federal poverty level thresholds at 400-500% of the poverty line. For reference, the 2026 federal poverty guidelines are: | Household Size | 100% FPL | 400% FPL | 500% FPL | |---|---|---|---| | Individual | $15,060 | $60,240 | $75,300 | | Family of 2 | $20,440 | $81,760 | $102,200 | | Family of 3 | $25,820 | $103,280 | $129,100 | | Family of 4 | $31,200 | $124,800 | $156,000 | The Arbor Pharmaceuticals program requires proof of income but does not specify exact thresholds. Xubex Pharmaceutical Services has no income limits. ## Insurance Requirements - **Arbor Pharmaceuticals:** For uninsured or underinsured patients. Medicare Part D patients may qualify if denied Low Income Subsidy. - **Patient Access Network Foundation:** Requires active health insurance that covers BiDil. Medicare Part D patients evaluated case-by-case. - **Xubex Pharmaceutical Services:** No insurance requirement; patients may have insurance or be uninsured. ## How to Apply ### Step 1: Choose Your Program Review the three programs above and select the one that best matches your insurance status and income level. ### Step 2: Gather Required Documents Prepare the following: - A valid prescription from your healthcare provider - Proof of income (recent tax return, pay stubs, or benefit statements) - Proof of US residency - A medical denial letter (if applicable for your program) - Insurance information (if you have coverage) ### Step 3: Complete the Application **For Arbor Pharmaceuticals and Patient Access Network Foundation:** - Applications can be submitted by fax or mail - Your healthcare provider must complete and sign their section of the application - You must complete and sign your section **For Patient Access Network Foundation:** - You or your healthcare provider can apply online or by phone **For Xubex Pharmaceutical Services:** - Call (866) 699-8239 to request a faxed application or download it from their website - No proof of income is required ### Step 4: Submit Your Application Submit your completed application with all required documents via fax or mail to your chosen program. ## Timeline and Delivery **Application Processing:** - Arbor Pharmaceuticals: 2-4 weeks for approval decision - Other programs: Timeline varies; contact the program for specifics **Medication Delivery:** - Arbor Pharmaceuticals: 5-7 business days after approval - Xubex Pharmaceutical Services: Shipped to your doctor's office or home - Patient Access Network Foundation: Typically 2 weeks from manufacturer **Supply Amount:** - Arbor Pharmaceuticals provides up to a 90-day supply - Other programs: Contact for specific supply amounts ## What Happens After Approval ### Medication Delivery Once approved, your medication will be shipped directly from the manufacturer. For Arbor Pharmaceuticals, the medication is shipped to your doctor's office. Xubex can ship to either your doctor's office or your home. ### Refills For the Arbor Pharmaceuticals program, you must contact the company directly to request refills. Contact them at (888) 417-7153. ### Reauthorization Contact your program to determine if reauthorization is required after your initial supply runs out. Most programs require periodic reapplication. ## If Your Application Is Denied If you are denied assistance from one program, consider applying to another. The three programs have different eligibility criteria, so you may qualify for a different program. Ask the program for specific reasons for denial and whether you can reapply with additional documentation. ## Important Safety Information Do not take BiDil if you: - Are allergic to isosorbide dinitrate, hydralazine, or any ingredients in BiDil - Are taking erectile dysfunction medications (Viagra, Levitra, Cialis) or pulmonary hypertension drugs - Are taking soluble guanylate cyclase stimulators like riociguat Always inform your healthcare provider and pharmacist about all medications you take before starting BiDil. ## Disclaimer This guide provides general information about BiDil patient assistance programs as of March 2026. Program eligibility, requirements, and benefits may change. Always verify current program details by contacting the programs directly using the phone numbers and addresses provided. This information is not a substitute for professional medical advice. Consult your healthcare provider about whether BiDil is appropriate for your condition.

Program information last verified: March 25, 2026