Chenodal

Indicated For

cerebrotendinous xanthomatosis, radiolucent gallstones

About This Medication

# Mirum Patient Assistance Program (PAP) Patient Guide: How to Get Chenodal (chenodiol) at Low or No Cost Chenodal (chenodiol) is a prescription medication used to dissolve certain types of gallstones in patients who cannot undergo surgery. The **Mirum Patient Assistance Program (PAP)** from **Mirum Pharmaceuticals, Inc.** provides **Chenodal at no cost** for up to one year to eligible uninsured or coverage-denied patients, with annual eligibility review[1][2][3]. ## About Chenodal (chenodiol) **Chenodal** contains chenodiol, a bile acid that works by reducing cholesterol production in the liver and dissolving cholesterol gallstones in the gallbladder. It is typically prescribed for patients with radiolucent gallstones who are not candidates for surgery. Treatment often requires taking the tablets twice daily with meals for months or years, alongside a low-cholesterol diet and ursodiol avoidance. Common side effects include diarrhea, nausea, and abdominal pain; regular liver function tests are needed to monitor for potential issues like elevated liver enzymes. Always follow your doctor's instructions, as Chenodal is not suitable for all gallstone types or conditions like acute cholecystitis[1]. This guide explains how to access **Chenodal** through the **Mirum PAP**, a free program via **Mirum Access Plus (MAP)**, the exclusive support hub for Chenodal patients. MAP coordinators help navigate insurance, prior authorizations, and financial aid[2][3]. ## Who Qualifies for the Program? The **Mirum PAP** targets patients facing high costs for Chenodal. Key eligibility: - **Uninsured** or **insurance coverage denied** (e.g., after prior authorization rejection). - **Not enrolled in government programs** like Medicare, Medicaid, VA, Tricare, or state-funded health plans. - Eligibility is **individually assessed** by the Mirum Access Plus team—no fixed income limits (e.g., Federal Poverty Level percentage) are published; they review your financial situation holistically[1][3][4]. **Income Eligibility Breakdown** Since specific income thresholds are not publicly detailed, the table below summarizes the flexible approach: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Determined case-by-case | No fixed FPL %; based on financial need[3] | | Couple | Determined case-by-case | Mirum team evaluates overall situation | | Family of 3 | Determined case-by-case | Annual review required[3] | | Family of 4+ | Determined case-by-case | Uninsured/denied only | Contact MAP for a personalized assessment—many patients qualify even without strict cutoffs[2]. ## Insurance Requirements - **Primary focus**: Uninsured patients or those whose insurance denies coverage (e.g., no prior auth approval). - **Exclusions**: Cannot use if on **Medicare, Medicaid**, or other federal/state programs. Commercial/private insurance patients may access other MAP options like copay savings first, then PAP if denied[1][3][5]. - MAP helps appeal denials and coordinates with payers[7]. ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm Chenodal is prescribed. Your prescriber completes the **Patient Enrollment Form** (download from mirumpharma.com or ctexli.com)[1][2]. 2. **Gather documents**: - **Patient Enrollment Form** (signed by patient and prescriber). - **Patient Authorization Form** (consents sharing health info with Mirum, insurers, pharmacies). - **Insurance card** (front/back—if applicable; proof of denial helpful). - **Patient demographics** from electronic medical records (name, DOB, address, etc.)[1][7]. 3. **Enroll in Mirum Access Plus**: Call **(855) 676-4968** (Mon-Fri, 8 AM-8 PM ET) for guidance. Opt-in for texts for reminders[1][2]. 4. **Submit by fax**: Fax everything to **1-855-282-4884**. MAP is the **application method**—no online portal listed[1][5]. 5. **MAP review**: Coordinators assess PAP eligibility, handle prior auths, and connect to the single-source specialty pharmacy[2][3]. ## Timeline and Delivery - **Processing**: Varies; MAP follows up on payer decisions promptly. Approval for PAP can take days to weeks after submission—call for status[2][5]. - **Delivery**: Once approved, **Chenodal ships directly to you** via the **exclusive specialty pharmacy** (Mirum Access Plus partner, e.g., Eversana). Expect home delivery; track via MAP app/texts[2][3][5]. - **Duration**: Up to **1 calendar year** at no cost, then reapply[3]. ## Reauthorization and Refills **Reauthorization is required** annually. Your doctor resubmits updated forms; MAP sends reminders. Refills ship automatically via the specialty pharmacy if eligible[1][3]. ## Alternatives if Denied - **Appeal denial**: MAP assists with insurance appeals or medical exceptions[7]. - **Other MAP support**: Copay cards for commercial insurance ($10/fill possible)[5]. - **General resources**: Check rxassist.org or PAN Foundation for broader aid. No biosimilars for Chenodal. Discuss ursodiol with your doctor as a clinical alternative[4]. - **Contact MAP** immediately at (855) 676-4968 for options. ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of latest updates. Eligibility, terms, and availability can change—**always verify with Mirum Access Plus at (855) 676-4968** or your healthcare provider. Mirum PAP does not guarantee approval; participation doesn't ensure insurance reimbursement. Consult your doctor before starting Chenodal. Mirum Pharmaceuticals is not liable for application errors. Program excludes government-insured patients[1][2][3][4]. **Total word count: ~950**

Program information last verified: March 30, 2026