IDELVION

Indicated For

Hemophilia B

About This Medication

# CSL Behring Patient Assistance Program Patient Guide: How to Get IDELVION at Low or No Cost IDELVION (coagulation factor IX (recombinant), albumin fusion protein) is a vital treatment for hemophilia B, and the **CSL Behring Patient Assistance Program** helps eligible patients access it at low or no cost, especially if uninsured or unable to afford treatment.[1][2][3] This guide explains eligibility, steps, and support options in simple terms. ## About IDELVION **IDELVION** is an FDA-approved therapy for children and adults with hemophilia B, a genetic bleeding disorder caused by factor IX deficiency.[8] It uses recombinant factor IX fused with albumin for extended protection, allowing dosing up to every 14 days in appropriate patients aged 12 and older while keeping factor IX activity above 5%.[8] It's used for on-demand bleeding control, perioperative management, and routine prophylaxis to reduce bleeding episodes.[8] Clinical trials showed a median annualized spontaneous bleeding rate of 0.00 with proper dosing.[8] Always consult your doctor for personalized use. ## Who Qualifies for the Program? The **CSL Behring Patient Assistance Program** targets patients **without insurance** or who **can’t afford treatment**.[2][3] It provides access to therapies for qualified uninsured or underinsured individuals, potentially offering up to a 3-month supply.[9] Specific income thresholds like Federal Poverty Level (FPL) percentages are not detailed publicly; eligibility focuses on financial need and lack of coverage.[3] Separate but related is the **Copay Program** for those with **private commercial insurance** (not government programs), offering up to $12,000 annually to reduce out-of-pocket costs to $0 for most.[1][4] The **CSL Behring Assurance^SM** program bridges coverage lapses in commercial insurance.[2][3][4] | Program Type | Target Patients | Key Benefits | |--------------|-----------------|--------------| | **Patient Assistance** | Uninsured or can't afford | Free/low-cost IDELVION supply (up to 3 months)[9] |[2][3] | **Copay Support** | Commercial insurance | Up to $12,000/year, often $0 out-of-pocket[1][4] | | **Assurance^SM** | Coverage lapse in commercial | Continued treatment support[2][4] | **Note:** No strict income table available; call for personalized assessment.[3] ## Income Eligibility Breakdown Detailed income limits (e.g., 400% FPL) aren't specified online for the patient assistance arm—instead, it's need-based for uninsured/underinsured.[2][3] Copay programs exclude government insurance but have no listed income caps for commercial plans.[1] Factors include household size, income, and insurance status. Contact **1-800-676-4266** for exact qualification.[1][2] Programs like this often consider overall financial hardship beyond rigid FPL cutoffs.[3] ## Insurance Requirements - **Patient Assistance:** Best for **no insurance** or inability to pay; underinsured may qualify.[2][3][9] - **Copay Program:** Requires **private commercial insurance** covering IDELVION; excludes Medicare, Medicaid, TriCare, VA, or any government-funded plans.[1][4] Medication must come from specialty pharmacies, hemophilia centers, or outpatient hospitals.[1] - Government insurance patients: Explore state programs or hemophilia treatment centers separately. ## Step-by-Step Application Process 1. **Call IDELVION Connect:** Dial **1-800-676-4266** (IDELVION Case Manager) to discuss options, check eligibility, and start enrollment.[1][2][3] Available for patient assistance, copay, or Assurance. 2. **Provide Information:** Share insurance status, income details, and doctor info. They'll guide on free trial, reimbursement, or assistance.[4] 3. **Complete Enrollment Form:** Download from idelvion.com or request via email/phone; doctor may sign.[1][4][6] Covers copay (up to $20,000 noted in some forms, typically $12,000), trials, and services.[4] 4. **Submit Documents:** Basic info like proof of income/residency may be needed (call to confirm).[4] 5. **Approval & Next Steps:** Case manager handles insurance verification and funding options.[2] Applications are phone-based—no online portal listed.[1] ## Timeline and Delivery Processing time isn't specified; expect prompt handling via phone support.[1][2] IDELVION ships from specialty pharmacies or treatment centers post-approval.[1] Copay applied at purchase; assistance delivers product directly (up to 3 months).[9] Refills/refauthorization details via case manager—call for reminders.[4] ## Alternatives if Denied or Other Options - **Free Trial:** New patients may qualify for complimentary IDELVION.[3][4] - **CSL Behring Assurance:** For insurance lapses.[2] - **Hemophilia Treatment Centers (HTCs):** Federally funded support.[1] - **Other Assistance:** RxAssist.org lists programs; state Medicaid or PAN Foundation for hemophilia.[7] - **Advocate Program:** Peer support at 1-866-705-9661.[5] - **No biosimilars** available for IDELVION.[program] If denied, ask why and reapply with updates or try copay/Assurance if insured.[1] ## Important Disclaimer This guide summarizes public info as of available data—programs change; CSL Behring may amend/revoke anytime.[1][4] Not medical/financial advice. Verify eligibility by calling **1-800-676-4266**. Consult your doctor/HTC. US residents only.[1] Word count: ~950.

Program information last verified: March 30, 2026