INTRAROSA

Indicated For

moderate to severe dyspareunia, vulvar and vaginal atrophy due to menopause

About This Medication

# INTRAROSA Savings Program Patient Guide: How to Get INTRAROSA at Low or No Cost ## About INTRAROSA INTRARosa (prasterone) is a prescription vaginal insert used to treat moderate to severe pain during sexual intercourse caused by changes in and around the vagina that occur after menopause. The medication works by delivering prasterone, which your body converts to estrogen, directly to the vaginal tissue.[1][3] ## Who Qualifies for Assistance The INTRAROSA Savings Program is designed to help patients afford this medication through multiple pathways depending on your insurance status:[2][5][6] **Commercially Insured Patients:** Eligible patients with commercial or private insurance can pay as little as $35 per 28-day supply through the manufacturer savings card.[6] **Uninsured and Underinsured Patients:** Cosette Pharmaceuticals, the manufacturer of INTRAROSA, offers patient assistance programs for patients in financial hardship who cannot afford the medication.[5] **Medicare Patients:** The manufacturer savings card is not available to Medicare patients. However, Medicare beneficiaries may explore other options including Medicare Extra Help programs, state pharmaceutical assistance programs, or lower-cost alternatives.[5] ## Income Eligibility Specific income thresholds for the INTRAROSA patient assistance program are not publicly disclosed. However, the program is available to patients in financial hardship.[5] Income eligibility is typically determined on a case-by-case basis during the application process. If you believe you qualify based on financial need, you are encouraged to apply. ## Insurance Requirements | Insurance Type | Eligibility | Details | |---|---|---| | Commercial/Private Insurance | Yes | Pay as little as $35 copay for 28 inserts; must have valid prescription | | Medicare Part D | Limited | Manufacturer savings card not available; explore Medicare Extra Help or state programs | | Medicaid | Limited | Manufacturer savings card not available; check state-specific programs | | Uninsured | Yes | May qualify for manufacturer patient assistance based on financial hardship | | Underinsured | Yes | May qualify for manufacturer patient assistance based on financial hardship | ## How to Apply **Step 1: Determine Your Eligibility** Before applying, confirm whether you have commercial insurance (eligible for $35 copay program) or are uninsured/underinsured (eligible for hardship assistance). If you have Medicare or Medicaid, contact your plan directly to understand your coverage options. **Step 2: Contact the Program** Reach out to the INTRAROSA Savings Program through one of these methods: - Call: (312) 265-4989 - Visit: us.intrarosa.com - Ask your healthcare provider or pharmacist for assistance **Step 3: Provide Required Information** Be prepared to provide: - Your prescription for INTRAROSA from your healthcare provider - Proof of insurance (if commercially insured) or financial information (if applying for hardship assistance) - Contact information **Step 4: Receive Your Discount** Once approved, you will receive information about how to access your savings. For the commercial savings card, you can have the discount sent by text, email, or print it out to show at the pharmacy.[2] **Step 5: Fill Your Prescription** Present your discount at the pharmacy when filling your prescription. Ideally, do this at drop-off before the prescription is filled to ensure the savings are applied correctly.[2] ## Timeline and Delivery The exact processing time for applications is not specified in program materials. However, once approved, discounts can typically be accessed quickly—often within days. Contact the program directly at (312) 265-4989 for specific information about processing times for your situation. INTRARosa is dispensed as a 28-day supply (one box of 28 vaginal inserts). Delivery typically occurs through your local pharmacy once your prescription is filled. ## What If Your Application Is Denied If you are denied assistance through the manufacturer program, consider these alternatives: **For Medicare Patients:** - Apply for Medicare Extra Help/Low-Income Subsidy (LIS) to reduce out-of-pocket costs - Check if your state offers a State Pharmaceutical Assistance Program - Ask your doctor about lower-cost alternatives such as generic estradiol vaginal products ($20-$120/month) - Request a tier exception from your Medicare Part D plan - Explore the Medicare Prescription Payment Plan to spread medication costs over time[2][5] **For All Patients:** - Search NeedyMeds (needymeds.org) and RxAssist (rxassist.org) for additional patient assistance programs - Compare prices at multiple pharmacies—prices can vary by $50-$100 or more for the same medication[5] - Discuss with your healthcare provider whether prior authorization is needed, as some insurance plans require this before covering INTRAROSA[7] - Ask your doctor about step therapy requirements if your plan requires trying a lower-cost medication first ## Important Considerations **Prior Authorization:** Some insurance plans require prior authorization before covering INTRAROSA. If your plan requires this and you don't receive approval before starting treatment, you could pay the full cost of the medication. Work with your doctor to obtain prior authorization if needed.[7] **Insurance Coverage Varies:** Not all insurance plans cover INTRAROSA. Before assuming your plan doesn't cover it, contact your insurance company directly to confirm coverage and any associated costs.[5] **Pharmacy Price Variation:** Prices for INTRAROSA can vary significantly between pharmacies. Always compare prices at several pharmacies before filling your prescription.[5] ## Disclaimer This guide provides general information about the INTRAROSA Savings Program based on publicly available information as of March 2026. Program details, eligibility requirements, and benefits may change. For the most current and accurate information about program eligibility, application procedures, and benefits, contact Cosette Pharmaceuticals directly at (312) 265-4989 or visit us.intrarosa.com. Always consult with your healthcare provider or pharmacist regarding your specific situation and medication needs. This guide is not a substitute for professional medical or financial advice.

Program information last verified: March 30, 2026