CABLIVI

Indicated For

acquired thrombotic thrombocytopenic purpura, aTTP, iTTP

About This Medication

# HemAssist Patient Assistance Program Patient Guide: How to Get CABLIVI (caplacizumab-yhdp) at Low or No Cost CABLIVI (caplacizumab-yhdp) is a prescription medication used to treat adults with acquired thrombotic thrombocytopenic purpura (aTTP), a rare blood disorder where blood clots form abnormally, potentially leading to organ damage or stroke. The **HemAssist Patient Assistance Program** from **Sanofi** helps eligible uninsured or underinsured patients access CABLIVI at low or no cost by covering out-of-pocket medication expenses. ## About CABLIVI and Why You Might Need Assistance **CABLIVI** works by targeting the von Willebrand factor to prevent excessive platelet clumping and clot formation in aTTP episodes. It's typically given as a subcutaneous injection during acute episodes and sometimes for prevention. Treatment often starts in the hospital and continues at home, but its high cost—often tens of thousands per dose—makes financial support crucial for many patients. The HemAssist program offers multiple layers of help, including the **Patient Assistance Program** for free or low-cost medication if you're uninsured or underinsured, a **Copay Assistance Program** for commercially insured patients (up to $25,000 annual savings), and a **Bridge Program** for coverage gaps. This guide focuses on the Patient Assistance Program, designed for those struggling with costs.[1][2][3] ## Who Qualifies for the Program? Eligibility centers on your insurance status and financial need, with **no strict income caps** listed—making it accessible to a broad range of patients facing high out-of-pocket costs. Key qualifiers include: - Uninsured patients (no health insurance at all). - Underinsured patients (have insurance but still face high copays or deductibles not covered by other programs). - Patients with temporary insurance loss. **Important exclusions**: Not available if you're enrolled in government-funded programs like Medicare (including Part D), Medicaid, Medigap, VA, DoD, TRICARE, or state pharmaceutical assistance programs. Claims for free products can't be submitted to any third-party payers.[1][2][4] ## Income Eligibility Breakdown Unlike many programs with rigid Federal Poverty Level (FPL) limits, HemAssist **does not impose specific income thresholds**. Instead, they verify income to assess need and match you to the best assistance. All applicants must provide proof of income, but there's no mentioned cutoff—eligibility is case-by-case for uninsured/underinsured.[1][2][4] Here's a simple table summarizing (based on no caps; always confirm with program): | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None specified | Income verified; no cap mentioned | | Couple | None specified | Focus on uninsured/underinsured status | | Family of 3 | None specified | Case-by-case review | | Family of 4+ | None specified | Proof required (W-2, 1040, paystub) | This flexibility helps patients regardless of exact earnings, as long as you're not on government insurance.[4] ## Insurance Requirements - **Eligible**: Commercial/private insurance (for copay help) or uninsured/underinsured (for Patient Assistance/Bridge). - **Ineligible**: Any government insurance (Medicare, Medicaid, etc.). Program not valid where prohibited by law. Sanofi may modify/terminate anytime.[1][2] HemAssist Case Managers investigate your coverage post-enrollment to confirm fit and explore options.[1] ## Step-by-Step Application Process Applying is straightforward with **multiple methods**. Expect a **HemAssist Case Manager** to assist throughout. Here's how: 1. **Discuss with your doctor**: Share this guide. Your healthcare provider (HCP) must prescribe CABLIVI and complete part of the form. 2. **Get the enrollment form**: Download from CABLIVI.com or sanofihemassist.com. Or enroll online via HemAssist portal.[1][4][6][8] 3. **Fill out your section**: Provide name, DOB, last 4 SSN digits, address, income proof, insurance details, and sign HIPAA/income authorizations (twice).[4] 4. **HCP completes theirs**: Includes prescriber info, NPI, contact, hospitalization details if applicable.[4] 5. **Submit**: - **Fax**: 800-914-0694 (HemAssist for CABLIVI) or 1-855-398-7634 (general).[1][4][8] - **Online**: Via HemAssist site; they may get patient consent if needed.[1] - **Phone start**: Call (855) 724-7222 or 1-833-723-5463 (Mon-Fri 8AM-7PM ET) for help.[1][4] 6. **Required Documents**: - Completed enrollment form. - Proof of residency (e.g., utility bill). - Proof of income (W-2, IRS 1040, recent paystub). - Insurance information (or proof of uninsured status).[4] ## Timeline and Delivery - **Processing**: Case Manager calls within **24 hours** of submission for welcome/onboarding.[1][9] - **Insurance review**: Quick verification. - **Delivery**: Shipped free to your home **or physician's office**; can coordinate with specialty pharmacy. Bridge/Free Trial may deliver in 24-48 hours.[1][2][9] **Reauthorization**: Required for ongoing treatment; your Case Manager handles renewals.[program details] ## Alternatives if Denied or Ineligible - **Copay Program**: If commercially insured, get CABLIVI for $0 (up to $25K/year).[2] - **Bridge Program**: For insurance gaps.[2] - **Other resources**: Sanofi Patient Connection (separate program), state assistance (if not conflicting), or nonprofits like PAN Foundation. - **No biosimilars** available for CABLIVI currently.[program details] - Contact HemAssist for personalized options; appeal denials with updated docs. ## Disclaimer This guide is for informational purposes based on available program details as of latest info. Eligibility, terms, and availability can change; Sanofi reserves rights to modify/terminate. Not valid with government insurance. Always verify directly: call 1-833-723-5463 or visit CABLIVI.com/HemAssist. Consult your doctor; this isn't medical advice. 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Program information last verified: March 30, 2026