Dulera

Indicated For

asthma

About This Medication

# Organon Patient Assistance Program Patient Guide: How to Get Dulera at Low or No Cost Dulera (mometasone furoate and formoterol fumarate dihydrate) is a prescription inhaler used to control and prevent symptoms of asthma in adults and children 5 years and older. The **Organon Patient Assistance Program** offers **Dulera free of charge** to eligible uninsured or underinsured patients who meet income-based criteria and lack adequate insurance coverage. ## About Dulera **Dulera** combines **mometasone furoate**, an inhaled corticosteroid that reduces inflammation in the airways, and **formoterol fumarate dihydrate**, a long-acting beta-agonist (LABA) that relaxes airway muscles to improve breathing. It is taken as two puffs twice daily for long-term asthma management, not for sudden attacks—always have a rescue inhaler like albuterol available. Common side effects include oral thrush, headache, and sinus infections; rinse your mouth after use to prevent thrush. Consult your doctor for full prescribing information and to ensure Dulera is right for you. ## Who Qualifies for the Program? The program targets patients facing financial hardship affording their Organon medication. Key eligibility factors include: - **Residency**: Must live in the United States. - **Insurance status**: Uninsured or underinsured patients whose coverage does not adequately cover Dulera. - **Income**: Based on household gross annual income; specific thresholds are not publicly listed but determined case-by-case. - **Prescription**: Valid prescription for Dulera from a licensed U.S. healthcare provider for an FDA-approved use. - **Exclusions**: Not for patients with government insurance like Medicare Part D (enrollment ends at calendar year-end if applicable). Patients with private insurance may explore the separate Organon Co-pay Assistance Program first, but the Patient Assistance Program is for those unable to afford meds even with coverage. ## Income Eligibility Breakdown Eligibility is **income-based** with no fixed Federal Poverty Level (FPL) percentage or household size thresholds published. Organon reviews current annual gross household income (or parent/guardian income if under 18) during application. The program reserves the right to audit and request proof. | Household Type | Threshold Example (Estimated) | Notes | |---------------|-------------------------------|-------| | Individual | Case-by-case review | Gross annual income assessed | | Couple | Case-by-case review | Includes all household earners | | Family of 3 | Case-by-case review | Parent/guardian income if minor | | Family of 4+ | Case-by-case review | Full household income required | **Tip**: Call (844) 674-3200 to discuss your situation pre-application. Lower incomes improve chances; provide accurate figures to avoid denial. ## Insurance Requirements - **Uninsured patients**: Fully eligible if other criteria met. - **Underinsured**: Qualify if insurance doesn't cover Dulera or out-of-pocket costs are unaffordable. - **Government insurance (e.g., Medicare Part D, Medicaid)**: Generally ineligible; enrollment terminates end-of-year if enrolled. - **Private insurance**: May need Benefits Investigation first via Organon Access Program; referral to Patient Assistance possible if coverage gaps exist. The Organon Access Program can check benefits and prior authorizations before PAP referral. ## Step-by-Step Application Process Applications start via **phone** at **(844) 674-3200** (Organon Access Program), Monday-Friday, typical business hours (e.g., 8 AM-8 PM ET based on similar programs). 1. **Contact Organon**: Call (844) 674-3200. Request referral to Organon Patient Assistance Program for Dulera. 2. **Work with your doctor**: Your prescriber completes enrollment form sections (download from organonhelps.com or via phone guidance). Include Dulera prescription. 3. **Complete patient section**: Provide name, address (no PO boxes), phone, email, household income, insurance details. **Patient and doctor must sign**. 4. **Submit**: Fax to provided number (e.g., similar programs use 800-538-5812) or submit electronically if offered. No additional docs required initially. 5. **Follow-up**: Representative contacts you and your doctor's office. **Pro tip**: Have prescription, income proof (pay stubs, tax returns) ready, though not always needed upfront. ## Timeline and Delivery - **Processing**: Not specified; expect contact soon after submission. Approval/denial via letter or text. - **Coverage period**: 12 months from enrollment (shorter for government insurance). - **Delivery**: Free medication shipped to your home or doctor's office (details confirmed post-approval). - **Refills**: Automatic until end-date; program notifies before expiration for re-enrollment. ## Alternatives if Denied - **Appeal**: Review denial letter; resubmit with updated info. - **Co-pay Program**: For privately insured (up to $10,000/year max, not for uninsured/government). - **Independent foundations**: Organon refers to groups like Patient Access Network or HealthWell (separate apps, own rules). - **Generic options**: No biosimilars for Dulera; ask doctor about alternatives like Advair or Breo. - **Other PAPs**: NeedyMeds.org or RxAssist.org list more. - **State programs**: Check for asthma-specific aid. ## Disclaimer This guide summarizes publicly available info as of latest data; program details can change—verify with Organon at (844) 674-3200. Not medical/financial advice. Eligibility not guaranteed. Organon/Organon Patient Assistance Program Inc. determines approval. Consult healthcare provider before starting Dulera. Void where prohibited by law.

Program information last verified: March 30, 2026