Dulera

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.

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.