HEMLIBRA

Indicated For

Hemophilia A

About This Medication

# HEMLIBRA Guide: Getting Emicizumab at Low Cost ## Overview HEMLIBRA (emicizumab) is a prescription medication used to treat hemophilia A. While Genentech, the manufacturer, does not currently offer an active patient assistance program, there are other ways to reduce your out-of-pocket costs for this medication. ## How to Access Affordable HEMLIBRA ### Savings Card Program Genentech offers a savings card for eligible patients with commercial insurance. This card can help reduce your copayment costs when you fill your HEMLIBRA prescription at participating pharmacies. The savings card is available regardless of your income level, making it accessible to most insured patients. ### Income-Based Assistance While there is no active manufacturer-run patient assistance program at this time, you may qualify for other support options. Income limits vary based on your household size and location, typically ranging from approximately $40,000 to $100,000+ annually for individuals, depending on your specific circumstances. ## Insurance Coverage Coverage for HEMLIBRA varies significantly by insurance type: - **Commercial Insurance**: Most major health plans cover HEMLIBRA with prior authorization. Your copayment depends on your specific plan and tier designation. - **Medicare**: Coverage varies. Original Medicare may cover HEMLIBRA under Part B if administered in a medical facility, or Part D if obtained through a pharmacy. - **Medicaid**: Each state program has different coverage policies. Contact your state Medicaid office for specific details. - **Uninsured Patients**: Explore community health centers, state programs, and clinical trials. ## What You'll Need to Apply If seeking alternative assistance programs, you'll typically need: 1. **Proof of Income**: Recent tax returns, pay stubs, or benefit statements 2. **Valid Prescription**: From your healthcare provider for HEMLIBRA 3. **Insurance Information**: Details about your current coverage or confirmation of being uninsured 4. **Identification**: Government-issued ID or Social Security number ## Getting Started: 4-Step Process **Step 1: Verify Your Eligibility** Check if you qualify for the savings card through your insurance. Ask your pharmacist or call your insurance company's member services line. **Step 2: Obtain Your Prescription** Work with your hemophilia treatment center or healthcare provider to get a prescription for HEMLIBRA. **Step 3: Activate Your Savings Card** Once you receive your savings card, register it online or call the number on the card. Provide basic information to activate your benefits. **Step 4: Fill Your Prescription** Bring your prescription and activated savings card to a participating pharmacy. The savings will be applied at checkout. ## Timeline Activating your savings card typically takes 1-2 business days. Once activated, you can use it immediately at participating pharmacies. There is no reauthorization required—your savings card remains valid according to the terms provided. ## Alternative Cost-Reduction Options If you don't qualify for the savings card or need additional assistance: - **Contact your hemophilia treatment center**: They often have resources and partnerships to help with medication costs - **Ask about clinical trials**: You may qualify for free medication through ongoing research studies - **Explore nonprofit organizations**: Groups like the National Hemophilia Foundation offer financial assistance programs - **Check state programs**: Your state may have pharmaceutical assistance programs for chronic conditions - **Apply for Medicaid**: If you're uninsured or underinsured, you may qualify ## Important Notes - Genentech does not currently operate an active manufacturer patient assistance program for HEMLIBRA - Eligibility and benefits may change; always verify current program details - Work closely with your healthcare team—they can advocate for coverage and help navigate insurance issues - Never skip doses or stop taking HEMLIBRA without consulting your doctor ## Next Steps Contact your hemophilia treatment center or insurance company today to discuss your options. Most patients qualify for some form of cost assistance. Your healthcare team is your best resource for finding the right solution for your situation.

Program information last verified: March 25, 2026