Entyvio

Indicated For

Ulcerative colitis, Crohn's disease

About This Medication

# EntyvioConnect Patient Guide: How to Get Entyvio (vedolizumab) at Low or No Cost EntyvioConnect is Takeda's comprehensive patient support program for **Entyvio (vedolizumab)**, offering **co-pay assistance** for eligible commercially insured patients (as low as $0 per dose, up to $20,000 annually) and a **Patient Assistance Program (PAP)** for uninsured or underinsured patients needing free medication.[1][2] ## About Entyvio and Why Assistance Matters **Entyvio (vedolizumab)** is a prescription biologic medication used to treat moderate to severe **ulcerative colitis** or **Crohn's disease** in adults when other treatments haven't worked well enough. It works by specifically targeting inflammation in the gut without broadly suppressing the immune system, reducing risks like infections.[1][5] Available as an **IV infusion** (given in a doctor's office every 8 weeks after initial doses) or **subcutaneous Pen** for self-injection at home.[1][2] Entyvio can be expensive—often thousands per dose without help. That's where **EntyvioConnect** steps in, providing financial aid, nurse educators, injection training, and insurance navigation to make treatment accessible.[1][4][5] ## Who Qualifies for EntyvioConnect Assistance? EntyvioConnect has **two main tracks**: 1. **Co-Pay Program** (for commercially insured patients): - Reduces out-of-pocket costs to **$0-$5 per dose**, up to **$20,000 per calendar year**.[1][3] - **Not eligible** if you have government insurance like **Medicare (including Part D or Advantage), Medicaid, TRICARE**, or if insurance covers 100% of costs. Also excluded: coverage gap in Medicare Part D or certain maximizer/accumulator programs.[1][7] - Open to patients with commercial insurance, regardless of IV or Pen form.[1] 2. **Patient Assistance Program (PAP)** (for uninsured/underinsured): - Provides **free Entyvio** if you lack insurance or have insufficient coverage and meet financial need (case-by-case review, often low-income households).[2] - **Not eligible** if currently covered by insurance for Entyvio.[2] - Includes e-income verification (soft credit check option).[2] **Key Note**: Federal Employees Health Benefit (FEHB) is **allowed** for co-pay help.[1][7] Programs reviewed case-by-case; Takeda may change terms anytime.[1][2] ## Income Eligibility Breakdown The **Co-Pay Program** has **no strict income limits**—it's primarily insurance-based for commercial plans.[1] However, **PAP** assesses household income case-by-case, typically prioritizing those at or below **400% Federal Poverty Level (FPL)** or uninsured/low-income (exact thresholds not publicly specified; verification required).[2] Here's a general **FPL reference table** (2026 guidelines; check current at healthcare.gov for your state—PAP uses household size-adjusted review): | Household Size | 400% FPL (Annual Income Example) | |----------------|---------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Notes*: PAP is case-by-case; provide proof like tax returns. Co-Pay has no income cap but excludes government insurance.[1][2] ## Insurance Requirements - **Commercial/Private Insurance**: Eligible for **Co-Pay Program** if not fully covered.[1] - **No Insurance/Uninsured**: Qualify for **PAP** free drug (case-by-case).[2] - **Government Insurance (Medicare, Medicaid, etc.)**: **Ineligible** for co-pay; call 1-844-ENTYVIO for other options.[1][2][7] - **Medicare Part D Coverage Gap**: Ineligible for co-pay.[1] Takeda monitors for co-pay maximizer programs and may discontinue aid.[7] ## Step-by-Step Application Process 1. **Discuss with Your Doctor**: Confirm Entyvio prescription. Physician completes sections on PAP form or co-pay enrollment.[2][10] 2. **Enroll in EntyvioConnect**: - Visit **entyvio.com/copay-support** or **entyvio.com/entyvioconnect**.[1][5] - Call **1-844-ENTYVIO (1-844-368-9846)** Mon-Fri 8AM-8PM ET.[1][8] - For PAP: Download form at entyviohcp.com (HCP site) or request via phone.[2] 3. **Submit for Co-Pay**: - Online form or co-pay card activation.[1][8] - Instant eligibility check; get card for pharmacy/infusion site.[1] 4. **Submit for PAP**: - Complete application (patient, doctor signatures).[2] - Opt for e-income verification (soft credit check).[2] - Mail/fax to address on form.[2] 5. **Required Documents** (PAP especially): - Proof of income (tax return, pay stubs, W-2).[2] - Proof of no/insufficient insurance.[2] - Prescription, HCP info.[2] - ID (for patient/guardian).[2] Physician office or patient submits; medication ships to **exclusive pharmacy** or **infusion site** (IV).[2] ## Timeline and Delivery - **Co-Pay**: Instant activation; use at next fill/infusion.[1] - **PAP**: Case-by-case review (typically 2-4 weeks); notify if approved. IV to infusion site; Pen via pharmacy.[2] - **Bridge Program**: Short-term help during delays (doctor form).[10] - **Refills**: PAP specifies qty/refills on form; notify for reauth.[2] Co-pay renews annually.[1] Nurse educators available for training/support.[1][2] ## Alternatives if Denied or Ineligible - **Government Insurance**: State programs, 340B clinics, or Crohn's & Colitis Foundation resources.[1] - **Other Aid**: PAN Foundation, NeedyMeds, or generic/biosimilar options (none currently for vedolizumab).[6] - **Appeal**: Resubmit with more docs or call for review.[2] - **Bridge**: Short-term via doctor.[10] - **Discount Cards**: GoodRx (limited for biologics).[4] ## Important Disclaimer This guide summarizes public info as of 2026; **always verify** with Takeda at 1-844-ENTYVIO or entyvio.com—programs change without notice.[1][2] Not medical/financial advice. Consult your doctor/insurer. Free PAP meds **don't count toward Medicare TrOOP**; notify plans.[2] Takeda not liable for misuse.[2] (Word count: 1028)

Program information last verified: March 25, 2026