Cinvanti

Heron Connect Patient Assistance Program: How to Get Cinvanti at Low or No Cost

About This Program

The Heron Connect Patient Assistance Program is designed to help eligible patients access Cinvanti (aprepitant) at no cost or reduced cost. Cinvanti is an injectable medication used to prevent nausea and vomiting caused by chemotherapy. If you're struggling to afford this medication, this program may be able to help.

Who Qualifies for Heron Connect

You may be eligible for the Heron Connect program if you meet these criteria:

• You have financial hardship and cannot afford your medication
• You are uninsured or paying cash for your prescription
• You have a valid prescription for Cinvanti from your healthcare provider
• You meet additional eligibility requirements outlined in the enrollment form

The program focuses on helping patients without insurance coverage or those paying out-of-pocket. If you have insurance, you may still qualify depending on your specific situation and financial circumstances.

About Cinvanti (Aprepitant)

Cinvanti is an antiemetic medication—meaning it prevents nausea and vomiting. It's commonly prescribed to cancer patients undergoing chemotherapy, as these treatments often cause severe nausea. Cinvanti works by blocking signals in the brain that trigger nausea and vomiting, helping patients maintain better nutrition and quality of life during cancer treatment.

Income Eligibility

The Heron Connect program does not use strict income cutoff thresholds. Instead, eligibility is determined on a case-by-case basis for patients demonstrating financial hardship. When you apply, you'll need to provide information about your financial situation so the program can assess your need.

The enrollment form will ask you to document your income and expenses to help determine if you qualify. There is no specific income limit that automatically disqualifies you—the program evaluates each application individually.

Insurance Requirements

The Heron Connect program is primarily designed for uninsured or cash-paying patients. This means:

• If you don't have health insurance, you're likely eligible
• If you pay cash for prescriptions, you may qualify
• If you have insurance but face high out-of-pocket costs, you may still be considered

You'll need to provide insurance verification as part of your application, even if you're uninsured. This helps the program confirm your coverage status.

How to Apply: Step-by-Step

Step 1: Get Your Prescription First, make sure your doctor has written a prescription for Cinvanti. You'll need this prescription to apply for the program.

Step 2: Gather Required Documents Collect the following before applying:

• Insurance Verification and Program Enrollment Form (provided by the program)
• Your prescription for Cinvanti
• Documentation of your financial situation (pay stubs, tax returns, or proof of hardship)

Step 3: Complete the Enrollment Form Fill out the Insurance Verification and Program Enrollment Form completely. This form asks about your income, household size, and financial hardship. Be thorough and honest—this information determines your eligibility.

Step 4: Submit Your Application Fax your completed enrollment form and prescription to:

Fax Number: (844) 437-6611

Make sure to include all required documents. Keep a copy for your records.

Step 5: Wait for Approval The program typically processes applications within 2 business days. You should hear back about your eligibility status within this timeframe.

Timeline and Medication Delivery

Once your application is approved:

• Processing time: 2 business days
• Delivery method: Your medication will be shipped directly to you or to your physician's office, whichever you prefer
• Shipping: Expect delivery within a few business days after approval

If you need your medication urgently, contact the program at (844) 437-6611 to discuss expedited options.

What Happens If Your Application Is Denied

If your application is denied, you have several options:

1. Ask why you were denied — Contact the program to understand the specific reason
2. Reapply with additional information — If your circumstances have changed or you have new documentation, you can submit another application
3. Explore other assistance programs — Other organizations and pharmaceutical companies may offer similar programs
4. Talk to your doctor — Your healthcare provider may know of other resources or alternative medications
5. Contact patient advocacy organizations — Cancer support organizations often have resources for medication assistance

Reauthorization Requirements

Important: Your assistance is not permanent. The Heron Connect program requires reauthorization, which means you'll need to reapply periodically to continue receiving free or reduced-cost medication.

The program will notify you when reauthorization is needed. When that time comes, you'll submit updated financial information and documentation to confirm you still meet eligibility criteria. Stay in contact with the program to ensure your medication supply isn't interrupted.

Important Disclaimer

This guide provides general information about the Heron Connect Patient Assistance Program. Program details, eligibility requirements, and policies may change. For the most current and accurate information, contact the program directly at (844) 437-6611 or speak with your healthcare provider. This information is not a guarantee of eligibility or approval. Each application is reviewed individually based on the information provided and program policies in effect at the time of application.

Need Help?

If you have questions about the application process or your eligibility, call (844) 437-6611. The program staff can answer your questions and guide you through the application process.