FOTIVDA

Indicated For

advanced renal cell carcinoma, RCC

About This Medication

# AVEO ACE Patient Assistance Program Patient Guide: How to Get FOTIVDA (tivozanib) at Low or No Cost FOTIVDA (tivozanib) is an oral prescription medication used to treat certain types of advanced kidney cancer, specifically relapsed or refractory renal cell carcinoma (RCC) after prior vascular endothelial growth factor (VEGF) receptor tyrosine kinase inhibitor therapy. The **AVEO ACE Patient Assistance Program** from **AVEO Oncology** helps eligible uninsured or underinsured patients get **FOTIVDA** free of charge, while offering co-pay support for those with commercial insurance. ## Who Qualifies for the Program? The AVEO ACE Patient Assistance Program is designed for **uninsured or underinsured patients** who meet financial eligibility criteria. You qualify if you: - Live in the US or Puerto Rico. - Are uninsured (no insurance) or underinsured (insurance doesn't cover FOTIVDA fully). - Provide household size and income details for verification. - Submit required documents like proof of residency, household income, and insurance information. **No strict Federal Poverty Level (FPL) percentage is published**, but eligibility hinges on financial need determined by AVEO ACE specialists, often involving a credit check via Experian Health. Commercial insurance patients may access separate co-pay assistance to reduce costs to $0 (up to $25,000 annually), but government programs like Medicare or Medicaid typically don't qualify for PAP free medication. ## About FOTIVDA (tivozanib) **FOTIVDA** is a targeted therapy capsule taken once daily for 21 days followed by 7 days off, in 28-day cycles. It works by blocking VEGF receptors to slow tumor blood vessel growth in advanced RCC. Common side effects include fatigue, diarrhea, hypertension, and decreased appetite—discuss with your doctor. Always take as prescribed; do not adjust without medical advice. This program ensures access during treatment journeys, including bridges for interruptions. ## Income Eligibility Breakdown Specific income thresholds aren't publicly detailed, as eligibility is case-by-case based on household income, size, and financial status. Here's a general overview: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Not specified | Based on financial need; credit check may apply | | Couple | Not specified | Household income required | | Family of 3 | Not specified | Proof of all income sources needed | | Family of 4+ | Not specified | Larger families assessed individually | Contact AVEO ACE at (833) 368-4832 for your personalized eligibility review. They use tools like Experian Health to verify. ## Insurance Requirements - **Uninsured**: Qualify for free FOTIVDA via Patient Assistance Program (PAP). - **Underinsured**: Free medication if insurance gaps exist; AVEO ACE handles benefits investigation, prior authorizations (PA), and appeals. - **Commercial/Private Insurance**: Co-pay program covers out-of-pocket costs to $0 (annual cap $25,000). Not for Medicare, Medicaid, or government insurance. AVEO ACE verifies coverage and advocates if denied, offering **Quick Start** (free supply during 5+ day payer delays) and **Bridge Program** (free during coverage gaps). ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Confirm FOTIVDA prescription. Your healthcare provider (HCP) can initiate or support enrollment. 2. **Contact AVEO ACE**: Call **(833) 368-4832** (Mon-Fri, 8 AM-8 PM ET) for guidance. Specialists explain options and start enrollment. 3. **Enroll**: - **Online**: Visit www.fotivda.com or use DocuSign links provided. - **Download & Fax**: Get form from fotivda.com, complete with HCP signature, patient authorization, and fax to **1-888-920-2830**. - Include: Proof of residency (e.g., utility bill), household income (pay stubs, tax returns), insurance info. 4. **Verification**: AVEO ACE reviews eligibility, contacts insurance if needed, and performs financial check. 5. **Approval & Start**: If approved, medication ships. Use Quick Start for urgent needs. Your signature authorizes data sharing for processing, including credit info. ## Timeline and Delivery Processing time varies (not specified; typically days to weeks post-enrollment). Quick Start bridges delays over 5 business days. **Delivery**: Shipped to your specialty pharmacy or physician's office—not directly to home. Track via AVEO ACE. **Reauthorization**: Required periodically; your specialist handles renewals. ## Alternatives if Denied - **Appeal Support**: AVEO ACE assists with PA/appeals. - **Co-Pay Program**: Switch if commercially insured. - **Quick Start/Bridge**: Temporary free supply. - **Other Resources**: AVEO ACE shares alternate funding; check RxAssist.org or NeedyMeds. No biosimilars available. - **Contact for Help**: Call specialists for personalized options. ## Important Disclaimer This guide is for informational purposes only and based on program details as of latest available info. Eligibility, terms, and availability can change—**always verify with AVEO ACE at (833) 368-4832 or fotivda.com**. Not a substitute for medical advice. AVEO Oncology reserves rights to modify/terminate program. Patients consent to data use for enrollment. See full terms on enrollment form. Word count: 942.

Program information last verified: March 30, 2026