Elahere

Indicated For

folate receptor-alpha positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer

About This Medication

# ELAHERE Support Services (ESS) Patient Assistance Program (PAP) Patient Guide: How to Get Elahere (mirvetuximab soravtansine-gynx) at Low or No Cost **ELAHERE Support Services (ESS) Patient Assistance Program (PAP) from AbbVie offers free Elahere for eligible uninsured or underinsured patients facing financial hardship.** This guide explains everything you need to know in simple terms, from eligibility to applying and what to do next. Elahere is an FDA-approved treatment for adults with **folate receptor alpha (FRα)-positive, high-grade epithelial ovarian, fallopian tube, or primary peritoneal cancer** who have received 1 to 3 prior systemic treatments, including a taxane and platinum-based chemotherapy, and for whom platinum is not an option. It works by targeting cancer cells expressing FRα with a monoclonal antibody-drug conjugate, delivering chemotherapy directly to tumors while sparing healthy cells[1]. ## Who Qualifies for the Program? The ESS PAP is designed for **patients who are uninsured or underinsured** and meet financial eligibility criteria. You must live in the **United States or Puerto Rico**. Key qualifications include: - **No government insurance**: Not enrolled in Medicare, Medicaid, Medigap, TRICARE, VA healthcare, state assistance programs, or Puerto Rico Government Health Insurance[1][2]. - **Financial need**: Household income and size are evaluated on the enrollment form. Specific Federal Poverty Level (FPL) thresholds are not publicly listed, but AbbVie assesses based on proof of income. Programs like this often consider incomes up to 400-500% FPL, but call to confirm your situation[1]. - **Prescription from a doctor**: A healthcare provider must prescribe Elahere and complete part of the form[2]. **Nurse Navigators and Case Managers** provide free support: Nurses answer questions on Elahere's use, side effects, and treatment; Case Managers help with insurance and costs[1]. ## Income Eligibility Breakdown Exact income limits aren't detailed online, as eligibility is determined case-by-case using your household size and income proof. Submit documents for review. Here's a general table based on typical AbbVie programs (confirm with ESS at (833) 352-4373): | Household Size | Estimated Max Income (e.g., ~400% FPL, 2026 levels)* | |----------------|-----------------------------------------------------| | 1 person | ~$60,000 | | 2 people | ~$81,000 | | 3 people | ~$102,000 | | 4 people | ~$123,000 | *Estimates; actual thresholds vary. Add ~$21,000 per additional person. Provide recent tax returns, pay stubs, or W-2s[1][2]. ## Insurance Requirements - **Uninsured**: Fully qualify if financially eligible—no insurance at all[1][3]. - **Underinsured**: Insurance doesn't cover Elahere or costs too much. Commercial insurance patients may use **Copay Assistance** separately (as low as $0 out-of-pocket), but PAP is for no-charge medication when coverage lacks[1][2][3]. - **Exclusions**: Government programs like **Medicare or Medicaid** disqualify you from PAP (though Medicare patients below 150% FPL should apply for Extra Help first)[2][6]. ESS helps investigate benefits and appeals[3]. ## Step-by-Step Application Process Applying is straightforward with **multiple methods**: phone, download form, or doctor submission. No online URL specified; start by calling[1][2]. 1. **Talk to your doctor**: Discuss Elahere. They start the **enrollment form** (download from elaherehcp.com)[2]. 2. **Gather documents**: - Proof of income (tax return, pay stubs, bank statements) - Proof of residency (utility bill, lease) - Insurance info (cards or denial letters if underinsured) - Photo ID[1][2]. 3. **Complete and sign the form**: Patient section includes consent for AbbVie to verify info. Check boxes for PAP (certify financial need) and Access Support[2]. 4. **Doctor completes their section**: Includes prescription, diagnosis, and signature[2][4]. 5. **Submit**: Fax/mail to AbbVie (details on form), or call (833) 352-4373 (Mon-Fri, 8am-8pm ET). Doctor can submit too[1][2]. 6. **Follow up**: Case Manager contacts you post-enrollment[1]. **Tip**: ESS offers **Access Support** (benefits check, prior auth help) to all enrollees first[2][3]. ## Timeline and Delivery Processing time isn't specified—typically 2-4 weeks for review, but call for updates. Once approved, **Elahere ships free to your home or doctor's office**[1]. Refills require **reauthorization** (doctor resubmits)[1]. Expect ongoing Case Manager support for refills and insurance changes[1]. ## Alternatives if Denied - **Appeal**: Submit more docs or updated income proof. Case Manager assists[3]. - **Copay Program**: Switch if commercially insured ($0 possible)[1][3]. - **Other AbbVie options**: myAbbVie Assist for broader assistance (online app at abbvie.com, but separate)[4][5][8]. - **External help**: State programs, cancer foundations (e.g., Patient Access Network), or Extra Help for Medicare[6]. - **Reapply**: If circumstances change (e.g., job loss)[1]. No biosimilar alternatives for Elahere. ## Important Disclaimer This guide is for informational purposes based on publicly available data as of 2026. **Eligibility isn't guaranteed**; AbbVie may change/cancel anytime. Consult your doctor and call (833) 352-4373 for personalized advice. Not medical/financial advice. Terms apply[1][2]. (Word count: 942)

Program information last verified: March 25, 2026