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Dalvance

Generic: dalbavancin

Manufacturer: AbbVie  ·  Program: myAbbVie Assist: Critical Care

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Eligibility Criteria

Insurance Requirement

Medicare, Medicaid, underinsured, or uninsured patients

Residency

US resident or Puerto Rico resident

Income Threshold

Up to 400% FPL

Income at or below 400% of Federal Poverty Guideline with consideration for Cost of Living Index and household size

Program Information

Processing Time

2 weeks

Delivery Method

shipped to patient

Application Method

Fax

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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