CHOLBAM

Indicated For

Bile acid synthesis disorders due to single enzyme defects, Peroxisomal biogenesis disorder-Zellweger spectrum disorder (PBD-ZSD)

About This Medication

# Mirum Access Plus (MAP) Patient Guide: How to Get CHOLBAM (cholic acid) at Low or No Cost CHOLBAM (cholic acid) capsules are a prescription medication used to treat rare bile acid synthesis disorders and bile acid malabsorption due to certain genetic conditions. **Mirum Access Plus (MAP)**, offered by **Mirum Pharmaceuticals, Inc.**, helps uninsured or underinsured patients access CHOLBAM at low or no cost through financial assistance, insurance navigation, and free medication for eligible individuals[1][2][4][6]. ## About CHOLBAM and Who It Helps CHOLBAM is an oral bile acid therapy approved for patients with specific genetic disorders, such as 3beta-hydroxy-delta-5-C27-steroid dehydrogenase deficiency or oxysterol 7alpha-hydroxylase deficiency, and for peroxisomal disorders like Zellweger spectrum disorders in patients unable to produce cholic acid[1][9]. It comes in capsules taken by mouth, with dosing based on body weight or medical needs, such as **total daily dose in mg/day** specified by your doctor[3]. This guide focuses on **Mirum Access Plus (MAP)**, a comprehensive support program that connects patients with experts for treatment access, financial aid, and ongoing help. It's designed for **uninsured or underinsured patients**, assisting with insurance coverage determinations, prior authorizations, appeals, and providing medication via specialty pharmacy[1][5][9]. Approximately 94% of similar patients in Mirum programs get insurance approval, and 98% pay $10 or less per fill[5][10]. ## Who Qualifies for MAP? MAP supports **patients with commercial insurance, Medicare, Medicaid, or no insurance** who need help affording CHOLBAM. Key eligibility includes: - Being a U.S. or Puerto Rico resident. - Having a valid prescription for CHOLBAM. - Uninsured, underinsured, or facing coverage barriers. **No specific income thresholds** are listed, but the program includes a **financial evaluation** to determine free medication eligibility. It's needs-based for patient assistance but not strictly income-limited; copay programs may cover commercially insured patients down to $0 out-of-pocket[4][7]. | Eligibility Factor | Details | |--------------------|---------| | **Insurance Status** | Uninsured/underinsured; assists all types including Medicare[7] | | **Income** | Financial evaluation required; no fixed thresholds provided[program details] | | **Residency** | U.S. and Puerto Rico residents[7] | | **Prescription** | Valid CHOLBAM Rx from HCP[1][3] | | **Other** | Consent to services; reauthorization needed[program details][3] | ## Insurance Requirements MAP excels at **insurance navigation**. It verifies benefits, handles prior authorizations (PA), medical exceptions (ME), and appeals. For **commercially insured**, copay assistance can reduce costs to $0 per fill. **Medicare patients** qualify for support, though free drug PAP may have limits per CMS rules. Uninsured get direct medication aid post-financial review. Program coordinates with payers until approval[5][7][9]. Include insurance card (front/back) with enrollment[3]. ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Ask your healthcare professional (HCP) to prescribe CHOLBAM and complete the HCP portion of the enrollment form. They can e-prescribe to Eversana Life Science Services or fax[1][9]. 2. **Download Forms**: Get the **Patient Enrollment Form** and **Patient Authorization (HIPAA)** from cholbamhcp.com or cholbam.com. Sign the consent for MAP services (valid 10 years unless revoked)[1][2][3]. 3. **Gather Documents**: - HCP-completed PAP application. - HIPAA authorization. - Financial evaluation docs (e.g., income proof, tax returns). - Insurance card copy (front/back). - Patient demographics from EMR if available[3][program details]. 4. **Submit**: HCP faxes everything to **1-855-282-4884**. Or call **(855) 676-4968** (Mon-Fri 8AM-8PM ET) for help. Multiple methods: phone, fax, digital Rx[1][5][6]. 5. **MAP Review**: Coordinators verify benefits, pursue payer approval, and assess finances. Urgent access available for immediate needs (15-day supply, up to 60 days)[3][9]. 6. **Approval Notification**: Office and patient updated on status. ## Timeline and Delivery Processing varies; urgent cases get 15-day supply in ~5 business days if barriers exist[3]. Standard benefits verification and PA follow-up take days to weeks, with MAP tracking[9]. Once approved, **overnight shipment via specialty pharmacy** (Eversana) ensures quick delivery. Refills require **reauthorization**; enroll for text reminders and mobile app tracking[5][10][program details]. ## If Denied or Alternatives If denied insurance/financial aid: - Appeal with MAP help (they provide forms, follow up)[9]. - Explore copay card for commercial insurance ($0 possible)[7]. - No biosimilars noted; discuss generics or other bile acids with HCP. - Outside resources via MAP referrals. - Reapply if circumstances change; call for guidance. **98% pay ≤$10/fill** in similar programs—persistence pays off[5][10]. ## Reauthorization and Ongoing Support **Reauthorization is required**. MAP sends reminders; resubmit forms periodically. Use **Mirum Access Plus Mobile** for e-sign, tracking, education. 24/7 pharmacist support; Navigator for questions[5][10]. ## Disclaimer This guide is for informational purposes based on available program details as of latest data. Eligibility, benefits, and terms may change; contact MAP at (855) 676-4968 or your HCP for personalized advice. Not a guarantee of coverage. Consult cholbam.com or official sources. Mirum not liable for third-party payer decisions. (Word count: 942)

Program information last verified: March 30, 2026