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CINQAIR

Generic: reslizumab

Manufacturer: Teva Respiratory, LLC  ·  Program: CINQAIR Cost Support Program

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Eligibility Criteria

Insurance Requirement

Must have commercial insurance coverage for CINQAIR. Uninsured and cash-paying patients are NOT eligible. Patients with commercial insurance that does not cover CINQAIR are NOT eligible. Medicare-eligible individuals enrolled in employer-sponsored retiree plans are NOT eligible.

Residency

United States residents, including US territories

Program Information

Processing Time

Several weeks after EOB submission

Delivery Method

Funds loaded to Cost Support Program Card for use at treatment provider

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Explanation of Benefits (EOB) from commercial insurance plan detailing out-of-pocket costs
  • CINQAIR Cost Support Program enrollment form

Indicated For

Asthma

About This Medication

# CINQAIR Cost Support Program Patient Guide: How to Get CINQAIR at Low or No Cost CINQAIR (reslizumab) is an injectable biologic medication used to treat severe eosinophilic asthma in adults, helping reduce asthma attacks and improve breathing by targeting high eosinophil levels in the blood. The **CINQAIR Cost Support Program**, offered by Teva Respiratory, LLC, provides financial help to eligible commercially insured patients by covering out-of-pocket costs like copays, coinsurance, and deductibles for the drug and its administration—up to **$10,000 per calendar year**—potentially reducing costs to **$0 per dose**.[1][3] ## Who Qualifies for the Program? This program is designed specifically for patients with **commercial insurance** that covers CINQAIR. Key eligibility rules include: - You must reside in the United States or its territories. - You need valid commercial prescription insurance that pays for CINQAIR and its administration. - **Uninsured, cash-paying patients, or those whose commercial insurance does not cover CINQAIR are not eligible.**[1][3] - **Government or federally funded programs disqualify you**, such as Medicare (including Medicare Advantage, Part D, Medigap), Medicaid, VA, DoD, TRICARE, or Puerto Rico Government Health Insurance.[1][3] - **Medicare-eligible individuals in employer-sponsored retiree plans** (even if using employer drug benefits instead of Medicare Part D) are **not eligible**.[1][3] - Patients in states prohibiting assistance for drug administration may only get help for the medication cost, not administration.[1][3] - You must follow all insurance requirements, like prior authorizations.[1] **No income thresholds** apply—eligibility focuses on insurance type, not household income.[provided] ## About CINQAIR and Severe Eosinophilic Asthma CINQAIR is given as an intravenous (IV) infusion every 4 weeks by a healthcare provider, typically in a doctor's office, clinic, or infusion center. It's for adults (18+) with severe asthma driven by eosinophils (a type of white blood cell). Your doctor checks eligibility via a blood test showing eosinophils ≥300 cells/μL before or during steroid use. **Why use it?** CINQAIR reduces exacerbations (flare-ups), lowers oral steroid needs, and improves lung function. It's not for acute asthma attacks or other conditions. Common side effects include increased infection risk (e.g., respiratory), joint pain, and rare allergic reactions. Always discuss risks with your doctor—see full Prescribing Information for details, including **Boxed Warnings**.[1] ## Income Eligibility Breakdown This program **does not use income thresholds**—it's open to all qualifying commercially insured patients regardless of earnings. Here's a simple table: | Eligibility Factor | Details | Eligible? | |--------------------|---------|-----------| | **Income** | No limits or requirements | Yes, all incomes | | **Commercial Insurance** | Must cover CINQAIR | **Yes** | | **Government Insurance (e.g., Medicare, Medicaid)** | Any enrollment | **No** | | **Uninsured/Cash Pay** | No insurance | **No** | | **Retiree Employer Plan (Medicare-eligible)** | Employer coverage | **No** | | **US Territories** | Included | Yes |[1][3][provided] ## Insurance Requirements **Commercial insurance is mandatory** and must cover CINQAIR. Submit claims certifying no government program involvement. If your insurance changes to a federal plan, you lose eligibility. Providers must meet insurer rules like prior authorization. Program funds load to a **Cost Support Program Card** for use at your treatment site.[1][2][provided] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Talk to your doctor. Ensure commercial insurance covers CINQAIR. Call **1-844-838-2211** (Mon-Fri, 8am-8pm ET) or visit **cinqaircopay.com** to check.[1][2] 2. **Enroll**: Use the online form at **https://www.cinqaircopay.com**, call the number above, or have your doctor submit the enrollment form. You'll get a confirmation call and **Program Card**.[2][5] 3. **Get Treatment**: Receive CINQAIR infusion. Your insurance processes the claim first.[provided] 4. **Submit for Reimbursement**: After treatment, get your **Explanation of Benefits (EOB)** from insurance showing out-of-pocket costs. Also need **CMS-1500, UB04, or electronic claim form**. Submit within **180 days of EOB date** via: - **Electronic**: Payer ID PSN22 - **Fax**: 1-844-838-2213 - **Mail**: CINQAIR Cost Support Program, PO Box 530492, Henderson, NV 89053[1] 5. **Receive Funds**: Funds load to your Program Card for provider use. Covers drug + administration (unless state-restricted).[provided][1] **Retroactive Claims**: Up to 180 days pre-enrollment possible.[1] ## Timeline and Delivery - **Enrollment**: Immediate upon approval; card mailed soon after.[2] - **Processing**: **Several weeks** after EOB submission.[provided] - **Funds Delivery**: Loaded to **Cost Support Program Card**—use at infusion site like a debit card. Present before/during treatment.[2][provided] - **Annual Limit**: Resets Jan 1; max $10,000/year. Auto-renews unless you opt out or insurance changes.[1][3] - **Reauthorization**: **Required**—resubmit EOB/claims per fill, as coverage needs verification.[provided][1] ## Alternatives if Denied or Ineligible - **Appeal Denial**: Contact 1-844-838-2211 for reasons (e.g., insurance issue). Fix and reapply.[1] - **Other Assistance**: Check RxAssist.org or NeedyMeds for general copay cards. No specific patient assistance for uninsured here.[7][9] - **Manufacturer Help**: Teva may have other options; call to ask.[8] - **Insurance Appeal**: Work with your doctor/insurer for coverage. - **Biosimilars**: None available.[provided] - **Switch Meds**: Discuss alternatives like Nucala or Dupixent with your doctor.[4] ## Important Disclaimer This guide summarizes the CINQAIR Cost Support Program based on available terms as of latest info. **Eligibility, benefits, and rules can change**—always verify at cinqaircopay.com or 1-844-838-2211. Program void where prohibited/restricted. Not valid with government insurance. Teva/affiliates not liable for misuse. Consult your healthcare provider; this is not medical/financial advice. See full Terms & Conditions.[1][3]

Program information last verified: March 25, 2026

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