Imcivree

Indicated For

genetic obesity due to POMC, PCSK1, LEPR deficiency, Bardet-Biedl syndrome

About This Medication

# Rhythm InTune Support Program Patient Guide: How to Get Imcivree at Low or No Cost Imcivree (setmelanotide) is a prescription injection used to treat obesity caused by rare genetic conditions like POMC, PCSK1, LEPR deficiency, or Bardet-Biedl syndrome (BBS). The **Rhythm InTune Support Program** from Rhythm Pharmaceuticals helps eligible patients access Imcivree through insurance navigation, financial assistance, and coordinated delivery, often at low or no cost.[1][2][3] ## About Imcivree and Who It Helps Imcivree works by targeting the brain's hunger and energy balance pathways disrupted in specific rare genetic diseases. It's approved for chronic weight management in: - Adults and children 6+ years with obesity due to **POMC, PCSK1, or LEPR deficiency** confirmed by genetic testing. - Adults and children 6+ with BBS and obesity.[3][4][7] **Who qualifies for Rhythm InTune?** This free support program is open to patients prescribed Imcivree, their caregivers, and providers. It assists **regardless of insurance type**—commercial, Medicaid, Medicare, underinsured, or uninsured. Most patients get insurance approval, especially at prior authorization. Financial aid is available for **eligible patients** to cover copays or provide free medication.[1][3][4] Your **Patient Education Manager** (a Rhythm employee, not a doctor) offers one-on-one help: education on Imcivree, injection training, community connections, insurance appeals, and treatment tracking.[2][3] ## Income Eligibility Breakdown Specific income limits (like Federal Poverty Level percentages) are **not publicly detailed**—eligibility is determined case-by-case. Programs help commercially insured patients with high copays and uninsured/underinsured patients meeting financial need criteria. Contact Rhythm InTune for a personalized assessment.[3][4] Here's a general overview based on typical patient assistance structures: | Household Size | Estimated Income Threshold | Notes | |---------------|----------------------------|-------| | Individual | Case-by-case | Financial need reviewed; copay cards for commercial insurance. | | Couple | Case-by-case | Uninsured may qualify for free drug. | | Family of 3 | Case-by-case | Medicaid patients often covered. | | Family of 4+ | Case-by-case | Appeals support included. | **Table note:** Exact thresholds vary; call **(855) 206-0815** for your situation. No strict FPL cutoff listed.[1][5] ## Insurance Requirements Rhythm InTune supports **all insurance types**: - **Commercial/Private:** Copay assistance for deductibles/copays. - **Medicare:** Financial programs for eligible Part D patients. - **Medicaid:** Majority have coverage policies. - **Uninsured/Underinsured:** Patient assistance for free or low-cost Imcivree.[3][4] They handle prior authorizations, appeals, and benefits verification. Most patients get approved.[1][2] ## Step-by-Step Application Process 1. **Talk to your doctor:** Confirm Imcivree is right. They complete the **Start Form** (prescription + certification).[1][6] 2. **Enroll in Rhythm InTune:** On the Start Form (pages 2-3), check the consent box, provide your info, sign/date. This unlocks support services like insurance help and financial aid.[1] 3. **Submit the form:** Doctor faxes to **1-877-805-0130** or emails **patientsupport@rhythmtx.com**. Or call **(855) 206-0815** (Mon-Fri, 8am-8pm ET).[1][9] 4. **Expect a call:** Rhythm InTune rep confirms details, requests insurance card. Answer unknown numbers![1][2] 5. **Insurance navigation:** Your Patient Education Manager coordinates with your doctor's office and **PantherRx specialty pharmacy** for prior auth/appeals. This can take time—stay in touch.[2] 6. **Financial assessment:** Discuss copay support or patient assistance if needed.[3] 7. **Approval & start:** Once covered, medication ships. Get injection training from PantherRx.[2][6] **Application methods:** Phone, fax, email. Multiple options available.[1] ## Timeline and Delivery - **Processing:** Varies by insurance—days to weeks for prior auth/appeals. Your Manager updates you.[2] - **Delivery:** Coordinated via **PantherRx** (specialty mail-order pharmacy). Home delivery with training.[2] - **Refills:** Manager and pharmacy handle ongoing shipments/titration. ## Alternatives if Denied - **Appeal:** Rhythm InTune helps with appeals—many succeed.[2][3] - **Financial programs:** Free drug for uninsured eligible patients. - **Other options:** Doctor may explore samples, bridge programs, or generics (none currently). Reapply if situation changes. - **Contact:** Call (855) 206-0815 for denied cases.[1] ## Staying on Treatment Rhythm InTune provides ongoing support: education, wellness tips, community, refill coordination. Track progress with your doctor.[2][4][7] ## Important Disclaimer This guide is for informational purposes only and based on publicly available program details as of 2026. It does not guarantee eligibility or coverage. **Rhythm InTune staff do not give medical advice—always consult your healthcare provider.** Program terms can change; verify with Rhythm Pharmaceuticals at (855) 206-0815 or patientsupport@rhythmtx.com. Eligibility decided by Rhythm. Imcivree has risks/side effects—discuss with your doctor. Not all patients qualify for free drug.[1][3] **Word count: ~950**

Program information last verified: March 30, 2026