Dermagraft
Generic: human fibroblast-derived dermal substitute
Manufacturer: Organogenesis Inc. · Program: Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
No public or private insurance coverage required; program is not a co-payment assistance program
Residency
U.S. resident
Eligibility determined on case-by-case basis; program for patients with limited financial resources and no public or private insurance coverage
Program Information
Processing Time
2–8 weeks
Delivery Method
Varies by program
Application Method
Fax
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income (1040 Tax Form or SSI statement)
- Completed and signed Patient Assistance Program Application
Indicated For
diabetic foot ulcers
About This Medication
# Patient Assistance Program Patient Guide: How to Get Dermagraft at Low or No Cost Dermagraft is a cryopreserved human fibroblast-derived dermal substitute used to treat diabetic foot ulcers (DFUs) that have lasted at least 6 weeks, helping them heal when standard care alone isn't enough. Organogenesis Inc.'s **Patient Assistance Program** provides this treatment at low or no cost to eligible U.S. patients with limited financial resources and no public or private insurance coverage.[1] ## About Dermagraft **Dermagraft** is not a simple bandage—it's a living tissue product made from human newborn foreskin fibroblasts grown on a bioabsorbable mesh scaffold. This creates a three-dimensional dermal substitute with living cells, extracellular matrix (like collagen), growth factors, and cytokines that promote healing.[2][6][10] It contains no blood vessels, macrophages, lymphocytes, or hair follicles, and is manufactured in an aseptic environment.[2][6] Your doctor applies Dermagraft directly to your clean, prepared DFU, typically weekly for up to 8 applications over 12 weeks, alongside standard care: debridement (cleaning), offloading (special shoes to reduce pressure), and protective dressings.[2] Clinical studies show Dermagraft heals significantly more DFUs than standard treatment alone.[2] It's FDA-approved for full-thickness DFUs in patients with diabetes present for at least 6 weeks.[10] **Important warnings**: Do not use if you have infection, sinus tracts, exposed tendon/muscle/bone/joint, or known allergy to bovine products (due to trace amounts from manufacturing).[2] Always follow your healthcare provider's instructions and review the full Directions for Use.[2][6] ## Who Qualifies for the Patient Assistance Program? This program targets patients facing financial hardship with **no insurance coverage**. Key requirements:[1] - U.S. resident - Limited financial resources (proof required) - No public (e.g., Medicare, Medicaid) or private insurance—this is **not** a copay assistance program Eligibility is reviewed **case-by-case**, so even if you meet basics, approval isn't guaranteed. It's ideal for uninsured patients unable to afford Dermagraft otherwise. Note: A separate **Charitable Assistance Program** exists for underinsured patients struggling with copays ($50+ out-of-pocket), where specialists help find charity funding.[1] Call (888) 432-5232 for that. ## Income Eligibility Breakdown No fixed income thresholds (e.g., % of Federal Poverty Level) are published—decisions are individualized based on your financial situation.[1] Submit proof like your 1040 tax form or SSI statement; the program assesses if you have "limited financial resources." | Household Size | Threshold | Notes | |---------------|-----------|-------| | Individual | Case-by-case | Proof of income required; no specific FPL % listed | | Couple | Case-by-case | Assessed holistically | | Family of 3 | Case-by-case | Focus on overall limited resources | | Family of 4+ | Case-by-case | Same as above | **Tip**: Be honest and thorough—include all income sources. If borderline, explain hardships like medical debts.[1] ## Insurance Requirements **Strict no-insurance rule**: You must have **no public or private coverage**. This program doesn't cover copays, deductibles, or underinsured scenarios—use the Charitable Assistance Program instead.[1] Confirm your uninsured status with documents. Medicare/Medicaid patients typically don't qualify here.[1] ## Step-by-Step Application Process Work with your healthcare provider—they must help complete the form. Here's how:[1] 1. **Contact Support**: Call (888) 432-5232 (Reimbursement Support Center) to discuss eligibility and start.[1] 2. **Download/Request Form**: Get the Patient Assistance Program Application from your provider or Organogenesis (print version available online).[1] 3. **Gather Documents**: - Completed, signed application (provider section too) - Proof of income: 1040 Tax Form or SSI statement[1] 4. **Submit by Fax**: Fax to 1-866-212-2888. Provider should assist.[1] 5. **Follow Up**: Expect contact via phone/fax on status. Apply with your treating doctor for best results.[1] **Pro Tip**: Start early—your DFU needs timely treatment. Provider involvement speeds things up. ## Timeline and Delivery Processing time isn't specified, as it's case-by-case, but Organogenesis's Circle of Care handles ordering/shipping post-approval.[3] Once approved, Dermagraft is cryopreserved and shipped to your provider for application in clinic (weekly).[2][3] No direct home delivery details; it's provider-administered. Track via phone updates.[1] Treatment: Up to 12 weeks.[2] ## Alternatives if Denied - **Appeal**: Provide more docs or reapply if circumstances change.[1] - **Charitable Assistance**: For underinsured—call (888) 432-5232 (opt. 3, then 2) for Alternative Funding Specialists to find charities (e.g., for copays ≥$50 on FDA-indicated DFUs).[1] - **Other Programs**: Check general resources like NeedyMeds or RxAssist for wound care aid.[4] - **Clinical Trials**: Search for DFU studies (e.g., via clinicaltrials.gov).[8] - **Standard Care**: Continue debridement, offloading, dressings—though less effective alone.[2] ## Disclaimer This guide summarizes Organogenesis info as of available data; programs change—verify directly at (888) 432-5232 or organogenesis.com.[1][3] Not medical/financial advice. Consult your doctor for Dermagraft suitability. Eligibility not guaranteed; case-by-case. Organogenesis disclaims liability for application outcomes. See full prescribing info.[2][6] Word count: 1028.
Program information last verified: March 30, 2026
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