Dalvance
Generic: dalbavancin
Manufacturer: AbbVie · Program: myAbbVie Assist: Critical Care
Apply for AssistanceEligibility Criteria
Insurance Requirement
Medicare, Medicaid, underinsured, or uninsured patients
Residency
US resident or Puerto Rico resident
Income Threshold
Up to 600% FPL
Individual Income Limit
$87,480/year
One of the most generous income limits in the industry
Program Information
Processing Time
1–2 weeks
Delivery Method
shipped to patient
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.
- Completed AbbVie Patient Assistance Program application form
- Healthcare provider signature on application
- Proof of income
- Proof of residency
Indicated For
Acute bacterial skin and skin structure infections (ABSSSI)
About This Medication
# myAbbVie Assist: Critical Care Patient Guide: How to Get Dalvance (dalbavancin) at Low or No Cost Dalvance (dalbavancin) is a prescription antibiotic used to treat serious bacterial skin infections, and the **myAbbVie Assist: Critical Care** program from **AbbVie** helps eligible patients get it for **free** if they meet income and insurance criteria[1][2]. This guide explains everything you need to know in simple terms, from eligibility to applying and what to do if you're denied. ## About Dalvance and Why Assistance Matters **Dalvance** is an intravenous (IV) antibiotic that fights tough skin infections like acute bacterial skin and skin structure infections (ABSSSI) caused by gram-positive bacteria, including MRSA. It's given in one or two doses, making treatment convenient outside the hospital[1]. Without insurance or with high costs, Dalvance can be expensive—often thousands per dose. That's where **myAbbVie Assist: Critical Care** comes in: it provides **free medication** to qualifying U.S. patients with limited or no coverage who can't afford it. The program is free to join, with no co-pays or shipping fees[2][4]. In 2024, AbbVie helped over 235,000 people through similar programs[2]. ## Who Qualifies? To qualify, you must: - Live in the U.S. and be treated by a U.S. licensed healthcare provider on an outpatient basis[7]. - Have **Medicare, Medicaid, be underinsured, or uninsured**[1][5]. - Show **financial need** based on income at or below **400% of the Federal Poverty Guidelines (FPL)**, adjusted for household size and Cost of Living Index[program data]. - Not be in certain alternate funding insurance plans[1][6]. Patients with commercial insurance may still qualify if coverage is insufficient and they demonstrate need[7]. Medicare patients can enroll but must not seek reimbursement or TrOOP credit for program meds[1]. ## Income Eligibility Breakdown Income limits are based on **400% FPL**, considering household size and cost of living. Exact dollar amounts change yearly; check current FPL at healthcare.gov. Here's a sample table for 2026 (estimates; confirm with program): | Household Size | Annual Income Limit (400% FPL) | |----------------|-------------------------------| | 1 | $60,320 | | 2 | $81,760 | | 3 | $103,200 | | 4 | $124,640 | *Add ~$21,440 per additional person.* Notes: Program reviews full financial picture, including out-of-pocket costs[7][program data]. Call (800) 222-6885 for personalized eligibility[1]. ## Insurance Requirements This program targets **Medicare, Medicaid, underinsured, or uninsured** patients[program data][5]. If you have commercial insurance, you may qualify if it's not enough to cover costs, but **alternate funding plans** (where insurers require PAP as prerequisite) are ineligible[1][6]. Medicare enrollees get meds for a calendar year but can't bill Medicare Part D or seek TrOOP[1]. Provide insurance cards during application[6]. ## Step-by-Step Application Process Applying is straightforward via **fax**—no online option for Critical Care[program data][1]. 1. **Get the form**: Download the Critical Care application from abbvie.com or call (800) 222-6885[1]. 2. **Fill it out**: Include patient info, prescriber details, income, and insurance. Your **healthcare provider must sign** it[program data]. 3. **Gather documents**: - Proof of income (pay stubs, tax returns)[6]. - Proof of residency (utility bill, etc.)[program data]. - Insurance cards if applicable[6]. 4. **Fax to program**: Use the number on the form (e.g., 1-866-483-1305 per some sources)[7]. 5. **Wait for review**: Program contacts your doctor if needed and notifies you both[6][7]. It's free; no fees collected[1][2]. ## Timeline and Delivery **Processing takes about 2 weeks**[program data]. Once approved, **medication ships directly to you** (patient), not the doctor's office[program data][7]. Refills require **reauthorization**—your doctor must resubmit[program data]. Use your account for updates via text/email if applicable[6]. Call (800) 222-6885 for status[1]. ## Alternatives if Denied If denied: - **Appeal**: Contact (800) 222-6885 to discuss reasons and resubmit with more docs[1]. - **Other programs**: Check AbbVie's Support Plus for insured patients or general RxAssist.org[7][8]. - **State assistance**: Look into Medicaid expansion or local clinics. - **Manufacturer copay cards**: For commercial insurance (not this PAP)[3]. - **Patient Access Network (PAN) Foundation** or similar for antibiotics. Reapply if circumstances change[1]. ## Reauthorization and Ongoing Support **Reauthorization is required** for refills—doctor submits new form[program data]. Notify program of insurance/income changes[1]. Terminate anytime by calling[1]. ## Disclaimer This guide is for informational purposes based on program details as of 2026 and AbbVie sources[1][2]. Eligibility isn't guaranteed; program can change/discontinue without notice[1]. Consult your doctor and call **(800) 222-6885** for latest info. Not medical/financial advice. Word count: 1028.
Program information last verified: March 30, 2026
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