Fylnetra

Indicated For

chemotherapy-induced neutropenia, febrile neutropenia

About This Medication

# Amneal Patient Assistance Program (PAP) Patient Guide: How to Get Fylnetra (pegfilgrastim-pbbk) at Low or No Cost Fylnetra (pegfilgrastim-pbbk) is a biosimilar to Neulasta, used to reduce the risk of infection after chemotherapy by boosting white blood cells.[1] The **Amneal Patient Assistance Program (PAP)** provides **free Fylnetra** for up to one year to eligible U.S. patients facing financial hardship.[1][3] ## About Fylnetra and Why Assistance Matters **Fylnetra** is an injectable medication given subcutaneously (under the skin) after chemotherapy to prevent **neutropenia**, a dangerous drop in infection-fighting white blood cells.[1] As a biosimilar, it works like the original pegfilgrastim but may be more affordable—yet high costs can still create barriers.[3] Chemotherapy patients often face copays, deductibles, or no insurance, making programs like Amneal PAP essential for uninterrupted treatment.[1][4] This guide explains eligibility, application steps, and support through **Amneal PATHways®**, a companion program offering copay help and more.[2][4] ## Who Qualifies for Amneal PAP? The program targets **uninsured or underinsured U.S. residents** (including Puerto Rico and U.S. Virgin Islands) unable to afford Fylnetra.[1] Key requirements:[1][3] - U.S. residency - Valid prescription for Fylnetra from a licensed practitioner - Financial need (proof required, e.g., income docs or public assistance letters) - For Medicare Part D patients: Explanation of Benefits (EOB) or year-to-date pharmacy printout showing spend - No specific income thresholds listed; eligibility based on program criteria like household income and resources[1][6] **Not eligible:** Prisoners, those in government institutions, or patients with adequate insurance coverage.[1] ## Income Eligibility Breakdown Amneal PAP does not publish exact **FPL (Federal Poverty Level) percentages** publicly, but applications require financial proof such as tax returns, pay stubs, or W-2s.[1] Approval considers total household income, size, and expenses. Here's a general framework based on similar programs (consult Amneal for your case):[1][6] | Household Size | Estimated Max Annual Income (300% FPL example)* | Required Proof | |---------------|------------------------------------------------|---------------| | 1 | ~$45,000 | Pay stubs, tax return | | 2 | ~$61,000 | + Public assistance letter if applicable | | 3 | ~$77,000 | Bank statements (some programs) | | 4 | ~$93,000 | Proof of household dependents | *Estimates; actual thresholds vary. Call 1-877-764-9021 to confirm.[1][3] Medicare patients must show out-of-pocket spend.[1] ## Insurance Requirements - **Uninsured patients** qualify most easily with financial docs.[1] - **Medicare Part D:** Submit EOB or pharmacy history printout.[1] - **Private insurance:** May qualify if high copays/deductibles; PATHways helps investigate benefits first.[4] - **Medicaid:** Often ineligible, as it's full coverage.[1] Enroll in **PATHways®** (866-426-6325) for benefits check before PAP—offers copay cards as alternative.[4] ## Step-by-Step Application Process 1. **Get Prescribed:** Ask your doctor for Fylnetra prescription.[1] 2. **Download Form:** Get the Fylnetra PAP application (amneal.com or call).[1] 3. **Complete Sections:** - Patient: Sections 1-3 (info, finances, signature).[1] - Doctor: Section 4 (contact, DEA/license, signature) + original prescription.[1] 4. **Gather Docs:** Financial proof, Medicare EOB/pharmacy printout if applicable.[1] 5. **Submit:** Fax to 1-877-764-9022 or mail to PO Box 220586, Charlotte, NC 28222.[1] 6. **Call Support:** 1-877-764-9021 (Mon-Fri 8AM-5PM CST) for questions.[3] **Tip:** Opt into PATHways SMS for status updates (caller ID: PATHways PSP or 866-426-6325).[4] ## Timeline and Delivery - **Processing:** Typically 2-4 weeks; call to check status.[1][3] - **If Approved:** Free Fylnetra shipped to your home for up to **12 months**.[1] - **Renewal:** Amneal mails renewal form before expiration—resubmit similar docs.[1][10] ## Alternatives if Denied or Ineligible - **PATHways Copay Program:** Debit card for copays (if insured).[4] - **Biosimilars/Original:** Neulasta (pegfilgrastim) via its PAP.[1] - **Other Resources:** NeedyMeds, RxAssist, or PAN Foundation grants.[6] - **Appeal:** Contact support to discuss; provide more docs.[3] - **Generic Options:** No generics yet; discuss alternatives with doctor.[7] ## Important Disclaimer This guide summarizes publicly available info as of latest data.[1][3][4] Eligibility/rules change—**always verify with Amneal at 1-877-764-9021**.[3] Not medical/financial advice; consult your doctor/ advisor. Amneal may use third-party screeners (e.g., Experian).[8] Program for U.S. patients only.[1]

Program information last verified: March 30, 2026