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Oncology

Folotyn

Generic: pralatrexate

Manufacturer:  ·  Program:

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Eligibility Criteria

Insurance Requirement

See program details

Residency

US residency required

Program Information

Processing Time

2–8 weeks

Delivery Method

Varies by program

Application Method

Online

Indicated For

relapsed or refractory peripheral T-cell lymphoma, PTCL

About This Medication

# Acrotech Access Support Patient Guide: How to Get Folotyn (pralatrexate) at Low or No Cost Folotyn (pralatrexate) is a chemotherapy medication used to treat relapsed or refractory peripheral T-cell lymphoma (PTCL), a type of non-Hodgkin lymphoma, by targeting rapidly growing cancer cells.[2][6] The **Acrotech Access Support** program, offered by Acrotech Biopharma (the manufacturer of Folotyn), provides reimbursement support and patient assistance to help eligible patients access this important treatment at little or no cost.[5][7] ## About Folotyn (pralatrexate) **Folotyn** is an injectable anti-folate drug, specifically a 10-deazaaminopterin derivative, that works by inhibiting enzymes needed for cancer cell growth, such as dihydrofolate reductase.[6] It was FDA-approved in 2009 under accelerated approval for patients with PTCL who have relapsed after or did not respond to prior therapies.[6][8] It's often used as a single agent for relapsed or refractory disease or initial palliative therapy, and patients typically need **vitamin B-12 supplementation** to manage side effects.[6] This guide focuses on the manufacturer's **Acrotech Access Support** program, which helps with access for uninsured or underinsured patients, including free medication delivery to your doctor for qualifying individuals.[4][5][7] Other options like Prescription Hope ($60/month flat fee, income under $200k/year) or copay cards may also apply.[1][2] ## Who Qualifies? Eligibility for Acrotech Access Support generally targets **U.S. residents** without adequate insurance coverage for Folotyn, who meet financial need criteria based on household income and assets.[4][7] While exact income thresholds aren't publicly detailed, similar programs (e.g., for related drugs) require low income, often at or below 400-500% of the Federal Poverty Level (FPL).[4] Patients must have a valid Folotyn prescription for an FDA-approved use like relapsed/refractory PTCL.[6] - **Uninsured patients**: Primary focus—free medication shipped to your physician.[4][5] - **Underinsured**: Reimbursement support if insurance denies coverage.[7] - **No guarantee of approval**: Program reviews each case individually.[7] ## Income Eligibility Breakdown Specific thresholds for Acrotech aren't listed online, but patient assistance programs like this often use FPL guidelines. Here's a general table based on common oncology PAP standards (e.g., up to 500% FPL for free meds). Contact the program for your exact eligibility.[4][5] | Household Size | 400% FPL (Example Low Threshold) | 500% FPL (Example Higher Threshold) | |---------------|----------------------------------|-------------------------------------| | **1 (Individual)** | $60,320 | $75,400 | | **2 (Couple)** | $81,760 | $102,200 | | **3** | $103,280 | $129,000 | | **4** | $124,800 | $155,800 | *Notes: Figures are approximate for 2026; actuals adjust yearly. Assets may also be reviewed. Programs like Prescription Hope use <$200k/year.[2] Always verify with 1-888-537-8277.[7]* ## Insurance Requirements - **Uninsured or denied coverage**: Ideal candidates—program provides free Folotyn to your doctor.[4][5] - **Medicare Part D**: May work alongside; check Extra Help for low-income subsidies (income ~138-150% FPL).[3] New 2025 Payment Plan spreads costs.[3] - **Commercial insurance**: Reimbursement help if copays/deductibles are high; not a replacement for coverage.[7] - **Medicaid**: Often ineligible, as it's for uninsured/underinsured.[4] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your oncologist for Folotyn; confirm medical necessity (e.g., relapsed PTCL).[6] 2. **Contact the program**: Call **1-888-537-8277** (Acrotech Access Support) or visit their site to start.[7] 3. **Complete enrollment**: Doctor's office or patient submits form with proof of income, insurance status, and prescription.[1][5] 4. **Submit documents**: See below for list. 5. **Wait for approval**: Review takes days to weeks.[7] 6. **Receive medication**: Shipped free to your physician's office for administration.[4] Your doctor’s office often handles this—many have staff dedicated to PAPs.[1] ## Required Documents Typical for programs like this:[1][4] - Proof of income (tax returns, pay stubs, W-2s for household). - Proof of residency (ID, utility bill). - Insurance card or denial letter. - Prescription and doctor's notes on diagnosis. - Asset statements if required. ## Timeline and Delivery - **Processing**: 1-4 weeks, depending on completeness.[1] - **Delivery**: Free to doctor's office; no home shipment usually.[4] - **Supply**: Up to 12 months initially, with reauthorization.[4] ## Alternatives if Denied or Ineligible - **Prescription Hope**: $60/month, works with insurance/Medicare, income <$200k.[2] - **Copay cards**: Via PrescriberPoint—reduce copays.[1] - **Medicare Extra Help**: For Part D users.[3] - **Partnership for Prescription Assistance**: Connects to 475+ programs.[4] - **State programs**: Check Medicare tool for local aid.[3] - **GoodRx coupons**: Pharmacy discounts.[3] - **NeedyMeds**: Additional resources.[4] ## Reauthorization and Refills Annual renewal often required; resubmit updated income/insurance docs. Notify if status changes.[4][7] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—**always contact Acrotech at 1-888-537-8277 for current details**.[7] Not medical advice; consult your doctor. Acrotech does not guarantee coverage.[7] Word count: 950.

Program information last verified: March 30, 2026

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