Fetroja

Indicated For

complicated UTI, hospital-acquired bacterial pneumonia, ventilator-associated bacterial pneumonia

About This Medication

# Fetroja Patient Assistance Program Patient Guide: How to Get Fetroja at Low or No Cost Fetroja (cefiderocol) is a specialized antibiotic used to treat serious bacterial infections when other options are limited. The **Fetroja Patient Assistance Program (FPAP)** from Shionogi provides this medication **at no cost** to eligible uninsured patients, delivered through healthcare institutions, clinics, or home infusion sites.[1][2] ## About Fetroja: What It Treats and Why It's Special **Fetroja** is an intravenous (IV) antibiotic approved by the FDA for adults with complicated urinary tract infections (cUTIs), including pyelonephritis, caused by certain Gram-negative bacteria when there are limited or no alternative treatments. It works uniquely as a siderophore, helping it penetrate the outer membrane of tough, drug-resistant bacteria like carbapenem-resistant strains.[3][7] It's also studied for hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP).[7][9] Administered via **3-hour IV infusions every 8 hours** for 7-14 days, dosing adjusts for kidney function but not liver issues. It's primarily for hospital or infusion settings due to its IV nature.[10] Always follow your doctor's guidance, as Fetroja targets infections resistant to common antibiotics, filling a critical gap in treatment.[1][2] ## Who Qualifies for the Fetroja Patient Assistance Program? The FPAP helps uninsured patients afford Fetroja. You must meet **all** these criteria:[2] - **No insurance**: No commercial, government (like Medicare/Medicaid), or other coverage.[1][2] - **Income at or below 300% of the Federal Poverty Level (FPL)**: Based on annual household income.[1][2] - **U.S. resident** (or U.S. territory).[2] - **Valid prescription** for an FDA-approved use, or susceptibility test showing Fetroja as the only option, from a U.S.-licensed provider.[2] Physicians certify medical appropriateness and agree not to seek insurance reimbursement for free product.[1] ## Income Eligibility Breakdown Eligibility hinges on household income ≤ **300% FPL**. Use the table below for 2026 guidelines (FPL updates annually; check HHS.gov for exact figures). For a family of 4, 300% FPL is about $97,200 (48 states/contiguous); higher in Alaska/Hawaii.[1][2] | Household Size | 100% FPL (48 States) | 300% FPL Threshold | |----------------|----------------------|--------------------| | 1 | $15,060 | $45,180 | | 2 | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | | 5 | $36,580 | $109,740 | | Add per person | +$5,380 | +$16,140 | *Notes: Alaska/Hawaii have higher levels (e.g., family of 4: AK $39,000 at 100% FPL). Include all household income sources. Shionogi verifies via SAS criteria.[1][2] Program data provided; confirm current FPL at aspe.hhs.gov/poverty-guidelines.* ## Insurance Requirements **Strictly for uninsured patients**. No commercial, government, or other coverage allowed. If you gain insurance, notify FPAP immediately—you may no longer qualify. Physicians cannot bill insurers for FPAP-provided Fetroja.[1][2] Medicare/Medicaid patients are ineligible, as FPAP targets those without any coverage.[1] ## Step-by-Step Application Process 1. **Talk to your doctor**: Confirm Fetroja is appropriate. They must complete part of the form, certifying medical need and no reimbursement intent.[1][2] 2. **Download/complete the form**: Get the **Patient Assistance Program Application** from Shionogi's site. Patient/caregiver fills personal/financial details; doctor signs.[1] 3. **Gather documents**: Primarily the completed application. May need income proof (tax returns, pay stubs) for verification.[1] 4. **Submit**: **Email** to accesssupport@shionogi.com (preferred) or mail. Form must be fully completed.[2] 5. **Shionogi reviews**: They verify income, insurance status, and eligibility using your info and health data.[1] 6. **Approval notification**: If approved, Fetroja ships to your healthcare institution, clinic, or home infusion site—not directly to you.[2] The program is voluntary; eligibility isn't tied to prescribing Fetroja.[1] ## Timeline and Delivery Processing time isn't specified, but expect review after submission. Once approved, medication delivers **through healthcare institutions, clinics, or home infusion** for administration—not mailed home.[2] Treatment duration: typically 7-14 days per course.[10] Notify FPAP if treatment changes; return unused product.[1] ## Alternatives if Denied or Ineligible - **Check other assistance**: Explore NeedyMeds, RxAssist, or PAN Foundation for antibiotics/infections. - **Manufacturer support**: Contact Shionogi Access Support for other options like samples or payment assistance (not FPAP).[2] - **Hospital programs**: Many institutions have charity care or indigent programs. - **State/local aid**: Medicaid (if eligible elsewhere) or 340B clinics. - **Clinical trials/expanded access**: For investigational uses, ask about Shionogi's Early Access Program via 1-800-849-9707.[8] - **Biosimilars**: None available for Fetroja.[program data] If denied, reapply if circumstances change (e.g., insurance loss) or appeal with more docs.[1] ## Important Disclaimer This guide summarizes publicly available info as of program details.[1][2] Eligibility decided by Shionogi/SAS. Not medical/financial advice—consult your doctor and verify details. Fetroja has risks; see full Prescribing Info. Program can change; contact Shionogi directly. Word count: 1028.

Program information last verified: March 30, 2026