Helixate FS

Indicated For

hemophilia A

About This Medication

# Bayer US Patient Assistance Foundation Patient Guide: How to Get Helixate FS at Low or No Cost Helixate FS (antihemophilic factor VIII recombinant) is a vital medication used to prevent and control bleeding episodes in patients with hemophilia A, a genetic bleeding disorder where the blood does not clot properly due to insufficient factor VIII.[1][2] The **Bayer US Patient Assistance Foundation** offers this prescription **at no cost** to eligible patients facing financial hardship, particularly those who are uninsured or underinsured.[3][4] This guide explains eligibility, application steps, and more to help you access Helixate FS without high out-of-pocket expenses. ## About Helixate FS **Helixate FS** is a recombinant form of **factor VIII**, a crucial blood-clotting protein missing or deficient in people with **hemophilia A**. It is administered intravenously to replace the missing factor, helping to stop bleeding and prevent spontaneous bleeds or those from injury/surgery. This treatment is often lifelong for hemophilia patients and can be extremely costly without assistance—thousands of dollars per infusion. The Bayer US Patient Assistance Foundation covers Bayer medications like Helixate FS for qualifying individuals, ensuring treatment continuity.[1][5] Hemophilia A affects about 1 in 5,000 male births, but can occur in anyone. Common uses include routine prophylaxis (preventive dosing) or on-demand treatment for bleeds. Always consult your healthcare provider (HCP) for personalized dosing. ## Who Qualifies? The program targets US residents (including Puerto Rico) with **financial need** who lack adequate insurance coverage for Bayer drugs.[1][2][5] Key requirements: - **Residency**: Must live in the US or Puerto Rico. - **Income**: Meet **certain income limits** based on household size and federal poverty level (FPL). Exact thresholds (e.g., % of FPL) are determined case-by-case; provide proof like tax returns or pay stubs.[1] - **Insurance**: Uninsured, underinsured, or coverage denied/exhausted for Helixate FS. Medicare patients have extra rules (detailed below).[2] **Income Eligibility Breakdown** Specific FPL percentages aren't publicly fixed but are assessed individually. Here's a general table based on program guidelines (2026 FPL estimates; confirm current levels): | Household Size | Estimated Max Income (300% FPL example)* | Notes | |---------------|-----------------------------------------|-------| | **1 (Individual)** | ~$45,000/year | Case-by-case; proof required[1] | | **2 (Couple)** | ~$61,000/year | Household income total[1] | | **3** | ~$77,000/year | Includes dependents[1] | | **4** | ~$93,000/year | Add ~$16K per extra person[1] | *Examples for illustration; program uses 'certain income limits'—call (866) 228-7723 for your situation. Medicare Part D LIS patients (<150% FPL) need denial proof.[2] ## Insurance Requirements - **Uninsured/Underinsured**: Primary group. Your Bayer med (Helixate FS) must not be covered or affordable.[1][4] - **Medicare Part D/Medicare Advantage**: Eligible if you meet criteria. **LIS ('Extra Help') patients** (age 65+, income <150% FPL) **must provide denial letter** from LIS program.[2] - **Exclusions**: Not for those whose insurance mandates PAP application (e.g., alternative funding plans). Seek state/government aid first; provide denial if applicable.[5] ## Step-by-Step Application Process 1. **Check Eligibility**: Confirm residency, income, and insurance status. Gather proof (income docs, insurance cards/denials).[1] 2. **Download Form**: Get the enrollment form from www.patientassistance.bayer.us or call (866) 228-7723.[1][2] 3. **Complete Patient Section** (pages 2-5): You or caregiver fills name, contact, household income, insurance details. Sign and date.[1][2] 4. **HCP Section** (page 6): Doctor completes/signs, confirming diagnosis and prescription for Helixate FS.[1] 5. **Checklist** (page 7): Ensure all complete. Make a copy for records.[1] 6. **Submit**: **Fax** to 1-866-575-6568 or **mail** to Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255. Online option via hubconnect.mckesson.com (if available).[1][2][5] 7. **Phone Help**: (866) 228-7723, Mon-Fri 9AM-6PM ET.[1] Applications must be **fully signed/complete** or won't be reviewed.[1] ## Timeline and Delivery - **Processing**: Usually **2 business days**; longer if incomplete.[6] - **Approval**: New apps valid up to **12 months**; reapply annually with updated finances.[7] - **Delivery**: **Shipped free to patient** (your home).[Program details] - **Refills**: Form sent with med; follow instructions for continuation.[7] ## Alternatives if Denied - **Appeal**: Contact program for reasons; resubmit with missing info.[1] - **Other Programs**: State assistance, hemophilia orgs (e.g., NHF chapters), or generic factor VIII if suitable (no biosimilars listed).[Program details] - **Government Aid**: Apply for Medicaid, LIS Extra Help first.[2][5] - **Copay Cards**: Bayer may offer for commercially insured (check separately). ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility/rules can change; **always verify with Bayer at (866) 228-7723 or www.patientassistance.bayer.us**. Not medical/financial advice—consult your HCP and advisor. Bayer US Patient Assistance Foundation is a separate charitable entity.[3][4] Word count: 1028.

Program information last verified: March 30, 2026