Elzonris

Indicated For

blastic plasmacytoid dendritic cell neoplasm (BPDCN)

About This Medication

# Stemline ARC Patient Assistance Program Patient Guide: How to Get Elzonris (tagraxofusp-erzs) at Low or No Cost Elzonris (tagraxofusp-erzs) is a prescription medication used to treat certain rare blood cancers, and the **Stemline ARC Patient Assistance Program (PAP)** helps eligible uninsured or functionally uninsured patients receive it **at no cost**. This guide explains eligibility, application steps, and support options in simple terms to help you access treatment without financial stress.[1][5] ## About Elzonris and Why Assistance Matters **Elzonris (tagraxofusp-erzs)** is an intravenous (IV) injection approved by the FDA for treating blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive blood cancer.[9] It works by targeting cancer cells to slow their growth. Treatment is given in a hospital or clinic setting, often with careful monitoring for side effects like **Capillary Leak Syndrome (CLS)**, which can cause swelling, low blood pressure, or breathing issues—your doctor will check your weight and blood before each dose.[9] Cancer treatment can be expensive, especially for specialty drugs like Elzonris. The Stemline ARC PAP, run by **Stemline Therapeutics (a Menarini Group company)**, provides the medication free to those who qualify, removing cost barriers so you can focus on your health.[1][5][8] Stemline ARC also offers broader support, including copay cards for commercially insured patients and connections to foundations.[1][2] ## Who Qualifies for the Program? The PAP is for **uninsured or functionally uninsured patients** who meet financial need criteria and live in the US or Puerto Rico.[5] 'Functionally uninsured' means you lack coverage for Elzonris due to high costs or denials, but you're not on government programs like Medicare or Medicaid for this program.[1][5][7] ### Income Eligibility Breakdown Specific Federal Poverty Level (FPL) thresholds aren't publicly detailed, but eligibility requires **proof of income** such as a W2 or 1099 form.[5] The program is needs-based, focusing on low-income patients without insurance coverage.[5][9] Here's a general overview based on similar programs (consult Stemline ARC for your exact situation): | Household Size | Estimated Max Annual Income (300% FPL example)* | Notes | |---------------|-----------------------------------------------|-------| | **Individual** | ~$45,000 | Proof like W2/1099 required[5] | | **Couple** | ~$61,000 | Exact thresholds via phone verification | | **Family of 3** | ~$77,000 | US/Puerto Rico residents only[5] | | **Family of 4** | ~$93,000 | Needs-based assessment | *These are illustrative; call **(833) 478-3654** for precise criteria, as they verify income individually.[5] No government insurance allowed for PAP.[7] ## Insurance Requirements - **Uninsured**: No health insurance at all—fully eligible if income-qualified.[1][5] - **Functionally Uninsured**: Commercial insurance but high copays/denials making it unaffordable; PAP may cover if no government insurance.[5] - **Not Eligible**: Medicare, Medicaid, VA, or other federal/state programs—use copay programs or foundations instead.[1][7][9] Stemline ARC Patient Advocates review your insurance during enrollment to match you with the right support, like the **ELZONRIS Co-pay Card** ($0 copay for commercial plans).[1][2] ## Step-by-Step Application Process Applying is straightforward with your doctor's help. Multiple methods available (phone, fax, mail).[2][5] 1. **Talk to Your Doctor**: Ask them to prescribe Elzonris and enroll you in Stemline ARC. They'll complete the **enrollment form** with your info, get your signature for consent, and include the prescription.[2][7] 2. **Gather Documents**: - Proof of income (W2, 1099, pay stubs) - Proof of residency (utility bill, lease) - Insurance info (or proof of no insurance) - Signed enrollment form and prescription[5] 3. **Submit**: Doctor faxes to **1-833-329-7836** or mails to **Stemline ARC, PO Box 5490, Louisville, KY 40255**.[2][5] Or call **(833) 478-3654** (Mon-Fri, 9am-6pm ET) for help.[5] 4. **Benefits Investigation**: A **Stemline ARC Patient Advocate** contacts you and your doctor to verify coverage, determine PAP eligibility, and explain options.[2][6] 5. **Approval**: If approved, medication ships free to your home or doctor's office.[5] ## Timeline and Delivery Processing time varies but expect contact from an Advocate within days of submission.[2] Once approved, Elzonris is **shipped directly** to you or your physician—no pharmacy pickup needed.[5] **Reauthorization is required** periodically; your doctor resubmits forms to continue supply.[Program details] Advocates provide ongoing support, answering questions and ensuring persistency.[3][6] ## Alternatives if Denied or Ineligible - **ELZONRIS Co-pay Card**: $0 copay for commercial insurance (enroll at www.ELZONRIScopay.com).[1] - **Independent Foundations**: Advocates connect you to third-party help.[1][9] - **Other PAPs**: Check PAN Foundation or RxAssist.org. - **Appeal**: Call (833) 478-3654 to discuss denial reasons and resubmit.[5] No biosimilar alternatives exist for Elzonris.[Program details] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026.[1][2][5] Eligibility, terms, and availability can change—**always verify with Stemline ARC at (833) 478-3654** or your doctor. Not a substitute for medical advice. Stemline Therapeutics does not guarantee approval. See full Prescribing Info for Elzonris risks, including Boxed Warning for CLS.[9] Contact program for latest details.

Program information last verified: March 30, 2026