ELELYSO

Indicated For

Gaucher type 1

About This Medication

# Pfizer Gaucher Personal Support (GPS) Patient Guide: How to Get ELELYSO at Low or No Cost ## About ELELYSO and Gaucher Disease ELELYSO (taliglucerase alfa) is an FDA-approved enzyme replacement therapy used to treat Type 1 Gaucher disease, a rare genetic disorder that affects how the body processes certain fats. ELELYSO helps replace the missing or deficient enzyme, reducing symptoms and disease progression. Because this is a specialized treatment for a rare disease, the cost can be substantial, which is why Pfizer offers the Gaucher Personal Support (GPS) program to help eligible patients access their medication. ## Who Qualifies for GPS Assistance The Pfizer Gaucher Personal Support program is designed to help patients who have a valid prescription for ELELYSO but face financial barriers to accessing their treatment. You may be eligible if you: - Are a U.S. resident or resident of Puerto Rico - Are being treated by a U.S. physician - Have been diagnosed with Type 1 Gaucher disease and prescribed ELELYSO - Meet the program's financial qualification requirements - Are uninsured, underinsured, or commercially insured The program serves patients across all insurance statuses. If you have commercial insurance, you may qualify for a copay assistance program that can reduce your out-of-pocket costs to $0 per month. If you are uninsured or underinsured, you may be eligible to receive ELELYSO at no cost. ## Income Eligibility While specific income thresholds are not publicly listed, the GPS program uses a needs-based assessment to determine eligibility. This means your household income and financial situation are evaluated to determine if you qualify for assistance. The program requires that you meet financial qualifications as part of the application process. Because income limits vary and are assessed on a case-by-case basis, the best way to determine your eligibility is to contact the GPS team directly. They can review your specific financial situation and let you know what assistance you may qualify for. ## Insurance Requirements and Coverage The GPS program works with patients in different insurance situations: | Insurance Status | What GPS Offers | |---|---| | **Commercially Insured** | Copay assistance program; eligible patients may pay as little as $0/month; assistance up to $15,000 per calendar year | | **Underinsured** | Financial assistance to help cover gaps in coverage | | **Uninsured** | Free medication for eligible patients | | **Medicare/Medicaid Beneficiaries** | Not eligible for copay assistance; may qualify for other support services | If you have Medicare or Medicaid, you are not eligible for the copay program, but you may still qualify for other GPS support services, including help with insurance benefits verification, prior authorization support, and infusion coordination. ## How to Apply for GPS Assistance Applying for the Pfizer Gaucher Personal Support program involves several steps: **Step 1: Gather Required Documents** - Patient Assistance Program Application form - Patient Authorization Form - Proof of income (recent tax return, pay stubs, or benefit statements) - Proof of U.S. residency - Insurance information (if applicable) **Step 2: Complete the Application** You and your healthcare provider should complete the Patient Assistance Program Application and Patient Authorization Form. These forms are available through the GPS program. **Step 3: Submit Your Application** Submit your completed forms via fax to the GPS program at (866) 758-7135, or contact the GPS team by phone for submission instructions. **Step 4: Work with Your GPS Case Manager** Once enrolled, you'll be assigned a GPS Case Manager who will be your primary contact. Your case manager will help coordinate all aspects of your ELELYSO support, including: - Identifying the right assistance programs for your situation - Verifying your insurance benefits - Explaining prior authorization requirements - Arranging infusion support services - Providing ongoing pharmacy support ## Application Timeline and Medication Delivery While specific processing times are not publicly stated, the GPS program works to process applications as quickly as possible. Once approved, ELELYSO is delivered via specialty pharmacy either directly to you or to your physician's office, depending on your treatment setup. Your GPS Case Manager will coordinate the delivery logistics and ensure your medication arrives when you need it. If you experience any delays or have questions about your delivery, contact your case manager or call the GPS hotline. ## Maximum Assistance and Annual Limits For eligible patients, GPS assistance may be up to a maximum of $15,000 per calendar year. This means the program will help cover up to $15,000 of your ELELYSO costs in a 12-month period. If your treatment costs exceed this amount, you may be responsible for additional costs, or your case manager can discuss other options with you. ## Reauthorization Requirements Your GPS enrollment requires reauthorization, which means you will need to renew your eligibility periodically. Your GPS Case Manager will contact you when it's time to reauthorize and will guide you through the process. It's important to respond promptly to reauthorization requests to ensure there are no gaps in your assistance. ## Infusion and Disease Support Services Beyond financial assistance, GPS provides comprehensive support services: - **Infusion Support**: Help locating and coordinating infusion services - **Disease Support**: Information and resources about Gaucher disease and ELELYSO treatment - **Insurance Navigation**: Help understanding your coverage and appealing insurance denials - **24/7 Access**: GPS healthcare specialists are available around the clock to answer questions ## What to Do If Your Application Is Denied If your application for GPS assistance is denied, don't lose hope. Contact your GPS Case Manager or call the GPS hotline to understand the reason for denial. Common reasons include: - Income exceeding program limits - Missing or incomplete documentation - Not meeting other eligibility criteria Your case manager can help you understand what went wrong and may be able to help you reapply or explore alternative assistance options. You also have the right to appeal an insurance coverage denial with help from the GPS team. ## Important Disclaimer This guide provides general information about the Pfizer Gaucher Personal Support program based on publicly available information. Program details, eligibility requirements, and benefits may change. For the most current and accurate information about your specific situation, always contact the GPS program directly. This guide is not a guarantee of eligibility or assistance. ## Contact Information **Pfizer Gaucher Personal Support (GPS)** - **Phone**: 1-855-ELELYSO (1-855-353-5976) - **Hours**: Monday–Friday, 8 AM–6 PM ET (24/7 support available) - **Fax**: (866) 758-7135 A GPS Case Manager is available to answer your questions and help you navigate the application process.

Program information last verified: March 30, 2026