Brexafemme

Indicated For

vulvovaginal candidiasis

About This Medication

# Brexafemme (ibrexafungerp) Patient Guide: How to Get Brexafemme at Low or No Cost Brexafemme (ibrexafungerp) is now managed by GSK following the 2025 NDA transfer from Scynexis, and eligible uninsured or underinsured patients may qualify for free medication through the **GSK Patient Assistance Program (PAP)**. This guide explains eligibility, application steps, and support options in simple terms to help you access this oral antifungal treatment for vulvovaginal candidiasis (VVC) and recurrent VVC (RVVC).[7][3] ## About Brexafemme **Brexafemme** is a first-in-class oral antifungal medication approved by the FDA to treat VVC—a common yeast infection affecting up to 75% of women—and to reduce episodes of RVVC. Unlike some antifungals that only stop fungal growth, Brexafemme kills the fungus with a unique mechanism of action, addressing rising resistance to other treatments. It's taken as a two-dose kit, making it convenient for home use without refrigeration.[7][3] VVC causes itching, burning, and discharge, while RVVC means four or more episodes per year. Brexafemme fills an unmet need as the only FDA-approved oral treatment for these conditions. Always consult your doctor to confirm if it's right for you.[7] ## Who Qualifies for the GSK Patient Assistance Program? The **GSK PAP**, run by the independent GSK Patient Access Programs Foundation, provides certain GSK medicines like Brexafemme at no cost to qualifying patients. You may be eligible if:[2][1][6] - You live in the US, Puerto Rico, or US Virgin Islands. - You are treated by a US-licensed healthcare provider. - You are **uninsured** or have **Medicare** and meet financial need criteria. - You meet **income eligibility** based on Federal Poverty Level (FPL)—specific thresholds for Brexafemme are not publicly detailed but typically follow standard PAP guidelines (e.g., 400-500% FPL or less).[2] **Note:** Private insurance? Check GSK copay programs separately, as PAP is for uninsured/underinsured. Government programs like Medicaid may disqualify you.[2][9][3] ## Income Eligibility Breakdown GSK PAP income limits are not explicitly listed for Brexafemme, but general criteria require household income at or below a percentage of the FPL (often 400-500% depending on program). Contact GSK at **1-844-431-9894** for your exact eligibility, as details vary.[2][3] Here's a sample table based on typical 2026 FPL guidelines (adjust for household size; verify with GSK): | Household Size | 400% FPL Example | 500% FPL Example | |----------------|------------------|------------------| | 1 (Individual) | $60,240 | $75,300 | | 2 (Couple) | $81,760 | $102,200 | | 3 | $103,280 | $129,100 | | 4 | $124,800 | $156,000 | *Add ~$21,520 (400%) or ~$26,900 (500%) per additional person. These are estimates—call to confirm Brexafemme-specific thresholds.*[2] ## Insurance Requirements - **Uninsured or Medicare Part D:** Primary candidates; provide proof of no/f limited coverage.[2] - **No government insurance:** Excludes Medicaid, Tricare, etc.[9] - **Commercial insurance:** Use copay cards (previously $30/treatment via Scynexis; now GSK—call to check).[3][9] GSK's Together with GSK offers coverage support if denied.[8] ## Step-by-Step Application Process 1. **Confirm eligibility:** Call **1-844-431-9894** (Brexafemme-specific line) or visit gskforyou.com to check if Brexafemme is covered.[3][1] 2. **Gather documents:** Prescription, proof of income (tax returns, pay stubs), proof of residency, insurance status (if any), and doctor's letter of medical necessity.[3][2] 3. **Apply:** Phone application preferred (1-844-431-9894); mention Brexafemme. Healthcare provider may need to submit forms.[1] 4. **Submit:** Fax/mail as instructed; track via phone. 5. **Approval wait:** Typically 2-4 weeks (see FAQ).[2] Your doctor can help with samples or a medical necessity letter.[5][3] ## Timeline and Delivery - **Processing:** 2-4 weeks after complete application.[2] - **Delivery:** Shipped free to your home or doctor's office via the foundation.[1][6] - **Refills:** Call 1-866-728-4368 or visit gskpaf.org.[2][6] ## Alternatives if Denied or Ineligible - **Copay card:** For commercial insurance—call 1-844-431-9894 (as low as $30 previously).[3] - **Discounts:** GoodRx, SingleCare, RxSaver for uninsured.[3] - **Other PAPs:** NeedyMeds or RxAssist for similar drugs. - **GSK support:** Together with GSK for navigation.[8] - **Generics:** No biosimilars; alternatives like fluconazole (cheaper but resistance issues).[7] ## Important Disclaimer This guide is for informational purposes only and not a guarantee of eligibility or coverage. Program terms change; contact GSK directly for latest details. Not health insurance. Consult your doctor for medical advice. Data current as of GSK/Scynexis transfer.[1][2][3][7] (Word count: 912)

Program information last verified: March 30, 2026