Filspari

Indicated For

IgAN, FSGS

About This Medication

# Travere TotalCare Patient Guide: How to Get FILSPARI at Low or No Cost ## About FILSPARI (Sparsentan) FILSPARI is a specialty medication used to treat IgA nephropathy (IgAN), a kidney disease. Because it's a specialty drug, it can only be filled at certain specialty pharmacies and requires careful monitoring. Travere TotalCare is a free support program designed to help you access FILSPARI quickly and affordably while managing the medication's safety requirements. ## Who Qualifies for Travere TotalCare Travere TotalCare offers financial assistance to eligible patients prescribed FILSPARI. The program provides different types of support depending on your insurance status: - **Commercially insured patients**: May qualify for $0 copay assistance - **Uninsured or underinsured patients**: May qualify for patient assistance to help cover medication costs - **All eligible patients**: Access to free at-home REMS lab testing (when qualified) Specific income thresholds are not publicly published. Travere TotalCare will evaluate your eligibility based on your individual circumstances, including household income and other factors. Contact the program directly to discuss your specific situation. ## Insurance Requirements Travere TotalCare works with most insurance plans. Here's what you need to know: - Most commercial insurance plans cover FILSPARI, though some may require prior authorization (PA) - If you have commercial insurance, you may qualify for copay assistance - If you don't have insurance or your insurance doesn't cover enough of the cost, additional patient assistance may be available - Once your insurance approves coverage, you will no longer be eligible for the copay assistance program ## Step-by-Step Application Process ### Step 1: Your Doctor's Initial Setup Your prescribing physician must complete a one-time REMS (Risk Evaluation and Mitigation Strategy) certification before prescribing FILSPARI. This is a safety requirement for all prescribers. ### Step 2: Complete Required Lab Work Before starting FILSPARI, your doctor will order lab tests to check your aminotransferase levels and total bilirubin. You can complete these labs at: - Your doctor's office - A local lab facility - Your home (with assistance from Travere TotalCare, if eligible) Ask your doctor which option works best for you. You can also request "standing labs" to be ordered for ongoing monitoring. ### Step 3: Sign Two Forms At your doctor's appointment, you will sign two forms that your doctor submits on your behalf: 1. **FILSPARI Patient Start Form** - This acts as your prescription and enrolls you in Travere TotalCare 2. **FILSPARI REMS Patient Enrollment Form** - This confirms you understand the serious safety risks associated with FILSPARI Make sure both forms are fully completed and signed by both you and your prescriber. ### Step 4: Prior Authorization (If Required) Once your Start Form is submitted, Travere TotalCare will initiate an electronic prior authorization (ePA) with your insurance company if needed. Note that separate prior authorizations may be required for different FILSPARI strengths (initiation at 200 mg and maintenance at 400 mg). You will receive an email or fax with a PIN to log into the ePA system. Use this system to submit the PA and any required documentation for your insurance company's review. ### Step 5: Medication Delivery Once everything is approved, a REMS-certified specialty pharmacy will coordinate shipment of FILSPARI directly to your home or your physician's office. ## Timeline and What to Expect After you sign the enrollment forms, expect a welcome call from a Travere TotalCare Nurse Educator. These educators are available to: - Guide you through the process of starting FILSPARI - Answer questions about your treatment - Help coordinate monthly refills - Provide updates via phone, text, or email (available in multiple languages, including Spanish and Mandarin) Specific processing timelines are not published, but Travere TotalCare is designed to help you get started as quickly as possible. To avoid delays: - Answer or return calls from unfamiliar numbers (your Nurse Educator may call from different numbers) - Be available when the specialty pharmacy calls to schedule delivery - Respond promptly to communications from Travere TotalCare ## Getting Help With Your Application If you have questions or need support at any stage: - **Call Travere TotalCare**: 1-833-345-7727 (1-833-FILSPARI) - **Hours**: Monday–Friday, 8 AM–8 PM ET - **Nurse Educators**: Available to answer questions about getting started - **Access & Reimbursement Managers (ARMs)**: Available to help if your prior authorization is denied or if you have reimbursement questions ## What If Your Application Is Denied? If your prior authorization is denied, this is often due to missing required information. Your Travere Access & Reimbursement Manager (ARM) can help you: - Understand why the denial occurred - Gather any additional documentation needed - Resubmit your authorization to avoid treatment delays Contact Travere TotalCare immediately if you receive a denial. ## Important Limitations and Disclaimers - Travere TotalCare is not health insurance - Once your insurance company approves coverage, you will no longer be eligible for copay assistance - Patient eligibility criteria, including household income limits and program conditions, apply - Travere Therapeutics reserves the right to modify or discontinue this program at any time - This program is void where prohibited by law - Other limitations may apply For complete terms and conditions, visit traveretotalcare.com or call 1-833-345-7727.

Program information last verified: May 9, 2025