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 blastic plasmacytoid dendritic cell neoplasm (BPDCN) in adults and children 2 years and older. The **Stemline ARC Patient Assistance Program** from Stemline Therapeutics helps eligible uninsured or functionally uninsured patients receive Elzonris **at no cost** by covering the medication itself. ## About Elzonris and Why Assistance Matters **Elzonris** is given as an intravenous (IV) infusion and targets BPDCN, a rare and aggressive blood cancer. Treatment requires careful monitoring for serious side effects like capillary leak syndrome (CLS), which can cause swelling, low blood pressure, and breathing issues. Your doctor will check your weight and blood tests before each dose. High costs can be a barrier to this life-saving therapy. The Stemline ARC Patient Assistance Program (PAP) ensures eligible patients get the drug free, removing financial stress so you can focus on recovery. This guide explains eligibility, application steps, and support resources.[1][3][5] ## Who Qualifies for the Program? The program targets **uninsured or functionally uninsured patients** who meet financial need criteria. You qualify if: - You lack prescription coverage or have insurance that doesn't cover Elzonris adequately (but no government insurance like Medicare/Medicaid for this PAP).[1][5][7] - You provide financial documents proving need, such as W2 or 1099 forms.[5] - You reside in the US or Puerto Rico.[5] - A doctor prescribes Elzonris for an FDA-approved use.[8] **Income Eligibility Breakdown** Specific Federal Poverty Level (FPL) thresholds aren't publicly detailed, but one source indicates eligibility up to **500% FPL for singles**. Exact limits require financial review; no fixed household charts are available. Contact the program for personalized assessment.[10] | Household Size | Estimated Max Income (500% FPL example)* | |----------------|-----------------------------------------| | 1 (Individual) | ~$75,300 annually | | 2 (Couple) | ~$101,500 | | 3 | ~$127,800 | | 4 | ~$154,000 | *Examples based on 2026 FPL guidelines (approximate); actual eligibility uses submitted docs like tax forms. Program reviews case-by-case.[10] ## Insurance Requirements - **Uninsured or functionally uninsured**: No coverage or high out-of-pocket costs without viable alternatives.[1][5] - **Not eligible**: Government programs (Medicare, Medicaid, VA, etc.). Commercial co-pay card exists separately for those (visit ELZONRIScopay.com).[1][7][8] - ARC Advocates verify benefits post-enrollment.[2][4] ## Step-by-Step Application Process 1. **Discuss with your doctor**: They initiate enrollment via the Stemline ARC form, including prescription and your consent.[4][8] 2. **Complete enrollment**: Doctor fills out [Stemline ARC Enrollment Form](description: includes patient info, insurance details, authorization). Fax to **1-833-329-7836** or mail to **Stemline ARC, PO Box 5490, Louisville, KY 40255**.[4][5][8] 3. **Submit documents**: Provide **W2/1099, proof of no insurance, prescription, enrollment form**.[5] 4. **ARC Advocate contacts you**: Expect a call to review eligibility, benefits, and assistance options (Mon-Fri, 9am-6pm ET at **1-833-478-3654**).[2][4][5] 5. **Approval and start**: If approved, medication ships free.[1][5] **Multiple methods**: Phone, fax, or mail; start by calling **(833) 478-3654**.[5] ## Timeline and Delivery - **Processing**: Varies; ARC Advocate guides post-submission. No fixed time listed—call for updates.[4] - **Delivery**: Shipped to your home or doctor's office at no cost.[5] - **Reauthorization**: Required periodically; doctor resubmits proof of ongoing need.[Program details] ## If Denied or Need Alternatives - **Appeal**: Contact ARC Advocate to review denial reasons (e.g., income, insurance). Resubmit updated docs.[5] - **Other options**: - **ELZONRIS Co-pay Card**: $0 copay for commercial insurance (not government). Enroll at www.ELZONRIScopay.com.[1] - **Third-party foundations**: ARC connects eligible patients.[1][7] - **General resources**: PAN Foundation, NeedyMeds, or RxAssist.org. - No biosimilars available.[Program details] ## Ongoing Support Stemline ARC provides **Patient Advocates** for questions, coverage help, and resources throughout treatment. Call **1-833-4-STEMLINE (1-833-478-3654)** Mon-Fri 9am-6pm ET.[3][9] **Disclaimer**: This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and availability can change. Always verify with Stemline ARC at (833) 478-3654 or your doctor. Not a guarantee of coverage. Consult healthcare provider for medical advice. Stemline Therapeutics does not guarantee outcomes.[1][5][7] (Word count: 942)

Program information last verified: March 30, 2026