Filsuvez

Indicated For

dystrophic epidermolysis bullosa, junctional epidermolysis bullosa

About This Medication

# Chiesi Total Care Patient Guide: How to Get Filsuvez at Low or No Cost Filsuvez (birch triterpenes) topical gel is a prescription treatment for wounds in patients with dystrophic or junctional epidermolysis bullosa (EB), a rare genetic skin disorder causing fragile skin and painful blisters. The **Chiesi Total Care** program from **Chiesi USA Inc.** offers personalized support, including financial assistance, insurance help, and free medication delivery for eligible patients—whether uninsured or insured—to make access easier[1][3][4]. ## About Filsuvez **Filsuvez** is a 10% birch triterpenes gel applied as a 1mm layer to affected wounds at each dressing change until healed. It's FDA-approved specifically for EB wounds, helping promote healing in this challenging condition. Clinical trials showed the most common side effect as pruritus (itching) and pain at the application site (7.3%). Always follow your doctor's instructions and report side effects to Chiesi at 1-888-661-9260 or FDA at 1-800-FDA-1088[1][6][7]. Chiesi Total Care provides a full support team: patient coordinators, nurses, pharmacists (24/7 availability), and reimbursement specialists. They handle insurance verification, prior authorizations, appeals, refills, and home delivery via PantheRx specialty pharmacy[1][3][4][5]. ## Who Qualifies? This program is designed for patients prescribed Filsuvez, offering **non-financial and financial assistance** tailored to individual needs. It's available to: - **Uninsured patients** through the Patient Assistance Program (PAP), providing free product if eligible[4]. - **Commercially insured patients** via copay assistance, reducing costs to as low as $0[10]. - Those with government insurance (e.g., Medicare, Medicaid), with benefits verification and support[1][3]. - Patients facing coverage delays or lapses, with extra financial services[4]. **Important restrictions**: Free product cannot be billed to government programs like Medicare/Medicaid. Not for cash-paying patients under copay program[2][10]. Eligibility is determined case-by-case—no strict income limits listed, but based on needs, insurance status, and residency (US/Puerto Rico, 18+ or via guardian)[10]. A dedicated team screens you upon enrollment[1][3]. ## Income Eligibility Breakdown Chiesi Total Care emphasizes **individualized eligibility** rather than fixed federal poverty level (FPL) thresholds. No specific income guidelines (e.g., 400% FPL) are published; instead, they assess based on insurance status, financial need, and other criteria[1][4]. | Category | Details | Examples/Notes | |-----------------------|-------------------------------------------------------------------------|-----------------------------------------| | **Uninsured** | Qualify for PAP; free Filsuvez if eligible | Primary option for no coverage[4] | | **Commercial Ins.** | Copay card: $0 out-of-pocket for eligible; renew yearly by Dec 31 | 18+, US/PR residents[10] | | **Government Ins.** | Benefits investigation; support for PA/appeals; no free product billing | Medicare/Medicaid verification[1][2] | | **Income/Needs** | Tailored options; no fixed thresholds | Coverage lapses/delays supported[4] | | **Not Eligible** | Government-funded full payment; cash-pay | Cannot bill free product[2][10] | Call 1-833-670-6464 for a personalized eligibility check[1][3]. ## Insurance Requirements - **Uninsured**: Ideal for PAP/free drug[4]. - **Commercial**: Copay assistance to $0; enrollment required[10]. - **Government (Medicare/Medicaid)**: Program verifies benefits, helps with prior auth/appeals, but free product can't be reimbursed to these payers[1][2]. - **Coverage issues**: Help with delays, lapses, or denials[4]. Your doctor authorizes benefits investigation during enrollment[2]. ## Step-by-Step Application 1. **Get Prescribed**: Ask your doctor for Filsuvez. They complete the prescription form (specify tubes/30-day supply)[2][8]. 2. **Enroll in Chiesi Total Care**: Doctor faxes first form to 1-877-914-0591 with insurance cards (front/back). Include patient consent for benefits check[2][8]. 3. **Call to Start**: Dial **(833) 670-6464** (or online form at chiesitotalcare.com). Team screens eligibility, verifies insurance, and coordinates[1][3]. Future prescriptions via phone/e-script to PantheRx[8]. 4. **Submit Docs**: Insurance info initially; additional per payer (team guides you)[1]. 5. **Approval & Delivery**: PantheRx ships to your door monthly[4][5]. **Application method**: Primarily phone-based with fax for initial Rx[1][2]. No online patient app URL specified. ## Timeline and Delivery Processing time varies by insurance/payer requirements, but the team prioritizes quick starts. Expect benefits verification and prior auth support promptly after enrollment. Medication ships via **PantheRx specialty pharmacy** directly home, with refill reminders to avoid gaps. 24/7 pharmacist access ensures smooth delivery[1][4][5]. ## Alternatives if Denied - **Appeal Support**: Team helps navigate payer appeals/exceptions[1]. - **Other Assistance**: Explore copay options, PAP if uninsured, or coverage lapse aid[4][10]. - **No Biosimilars**: None available for Filsuvez[program data]. - **General Resources**: EB foundations or state programs; discuss with your doctor. If ineligible, contact the team for tailored advice[3]. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, benefits, and terms can change—**always verify directly with Chiesi Total Care at (833) 670-6464**. Not a guarantee of coverage. Consult your healthcare provider for medical advice. Chiesi USA Inc. reserves rights to modify/amend program. Free product not reimbursable to government payers[2][10]. Report adverse events promptly[1]. (Word count: 1028)

Program information last verified: March 30, 2026