ILUMYA

Indicated For

plaque psoriasis

About This Medication

# ILUMYA Patient Assistance Program Patient Guide: How to Get ILUMYA (tildrakizumab-asmn) at Low or No Cost ILUMYA (tildrakizumab-asmn) is a prescription biologic medication used to treat adults with **moderate-to-severe plaque psoriasis** who are candidates for systemic therapy or phototherapy. The **ILUMYA Patient Assistance Program (PAP)**, offered by Sun Pharmaceutical Industries, Inc., provides eligible uninsured or underinsured patients with **ILUMYA at no cost**, helping those facing financial barriers access this important treatment. ## About ILUMYA and Why Assistance Matters ILUMYA works by targeting interleukin-23 (IL-23), a protein involved in inflammatory processes that drive plaque psoriasis. Administered as a subcutaneous injection every 12 weeks after initial doses, it helps reduce plaques, itching, and scaling for clearer skin and better quality of life. However, without insurance, the out-of-pocket costs can be prohibitive—often thousands per dose. That's where the ILUMYA PAP steps in, ensuring financial need doesn't stand between you and relief.[1][9][10] This guide walks you through eligibility, application steps, and more, so you can confidently pursue free or low-cost access. ## Who Qualifies for the Program? The program targets **uninsured or underinsured patients** struggling with the cost of ILUMYA. Key qualifications include: - U.S. residency. - Prescription for ILUMYA from a licensed healthcare provider. - **Income-based eligibility**: Total monthly household income is evaluated (specific Federal Poverty Level (FPL) percentage not publicly fixed; case-by-case review).[1][2][3][5] - No specific income thresholds listed (e.g., for individuals, couples, or families), but lower-income households are prioritized. **Notes**: Patients with terminated insurance or gaps in coverage may qualify. Medicare Part D patients are considered **case-by-case**. Exclusions apply for those with adequate commercial coverage.[2][5] ## Income Eligibility Breakdown Eligibility hinges on **total monthly household income**, but exact FPL cutoffs aren't predefined—Sun Pharma reviews applications individually. Here's a general framework based on similar programs (always verify with the program): | Household Size | Estimated Max Monthly Income (e.g., ~400-500% FPL)* | Notes | |---------------|-----------------------------------------------------|-------| | 1 (Individual) | ~$5,000-$6,500 | Proof of all income sources required. | | 2 (Couple) | ~$6,800-$8,800 | Include spouse/partner income. | | 3 | ~$8,500-$11,000 | Add dependents' details. | | 4 | ~$10,000-$13,000 | Larger families assessed proportionally. | *Estimates for illustration; **call (855) 445-8692 for your situation**. Provide pay stubs, tax returns, etc.[5] ## Insurance Requirements - **Uninsured**: Fully eligible if income qualifies. - **Underinsured**: Gaps in coverage or high copays? Apply—program bridges the gap. - **Commercial insurance**: May not qualify for PAP; try ILUMYA Copay Program instead (as low as $0).[4][9] - **Medicare Part D**: **Case-by-case**; not automatically excluded. Contact program for appeal support.[2][5] Reauthorization is **required** periodically to confirm ongoing eligibility.[5] ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm ILUMYA is right for you. They must sign the enrollment form. 2. **Gather documents**: - Completed **enrollment form** (signed by you and physician). - **Proof of income** (e.g., pay stubs, W-2s, tax returns for all household members). - **Proof of residency** (e.g., utility bill, lease). - **Insurance info** (if any, including denial letters).[5] 3. **Submit via multiple methods**: - **Online**: ilumyasupport.com/ilumyasupportprovider/.[5] - **Phone**: Call (855) 445-8692 (Mon-Fri) for help.[1][5] - **Fax/Mail**: Use form instructions (e.g., PO Box 29051, Phoenix, AZ 85038-9051; Fax: 877-872-6575).[5] 4. **ILUMYA SUPPORT team reviews**: They verify income/insurance. 5. **Approval notification**: Via phone/email. **Tip**: Start early—your doctor's office can handle much of this. ## Timeline and Delivery Processing time varies (not specified; typically 2-4 weeks for PAPs). Once approved: - **Delivery**: Shipped **free to your home or doctor's office**.[5] - **Refills**: Reauthorization needed; team reminds you. Track via ILUMYA SUPPORT portal or phone.[1][6] ## Alternatives if Denied - **ILUMYA Copay Program**: For commercial insurance ($0 copay possible). Call 1-866-253-6677.[4] - **Early Access/Savings**: Other Sun Pharma options.[4][9] - **Appeal**: Submit more docs or updated income. - **Other PAPs**: Check rxassist.org or PAN Foundation. - **No biosimilars** available yet.[10] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and benefits can change—**always confirm with Sun Pharma at (855) 445-8692 or ilumyasupport.com**. Not a substitute for medical/financial advice. ILUMYA has risks (e.g., infections); discuss with your doctor. Program not for resale/transfer.[2][5][10] **Word count: ~950**

Program information last verified: March 30, 2026