Intrarosa

Indicated For

vulvar and vaginal atrophy, postmenopausal dyspareunia

About This Medication

# Cosette Cares Patient Assistance Guide: How to Get Intrarosa (prasterone DHEA) at Low or No Cost Intrarosa (prasterone DHEA) is a prescription vaginal insert used to treat moderate to severe pain during sexual intercourse in postmenopausal women, caused by changes in and around the vagina due to menopause. It's the only FDA-approved vaginal non-estrogen treatment that your body converts into androgens and estrogens naturally from plant-derived DHEA combined with coconut and palm oils.[1][4][7] ## About Intrarosa **Intrarosa** offers a unique approach to menopausal symptoms. Unlike traditional estrogen therapies, it doesn't carry a boxed safety warning and provides both estrogenic and androgenic effects locally in the vagina. Insert one vaginal suppository daily at bedtime. Clinical trials showed pain relief within 12 weeks, with continued improvement over 52 weeks of consistent use. Common side effects include vaginal discharge (≥2% incidence) and, less commonly, abnormal Pap smears. Always discuss with your doctor, especially if you have undiagnosed vaginal bleeding.[1][4][5][7][8] Intrarosa has no generic available, so costs can be high—often hundreds per month without assistance. That's where **Cosette Cares** and related programs from manufacturer Cosette Pharmaceuticals come in, making it affordable for many.[2][3] ## Who Qualifies for Assistance? Cosette Pharmaceuticals, through **Cosette Cares** and the **Intrarosa Savings Program**, helps reduce costs primarily for **commercially insured patients**. Eligible patients pay as little as **$35 per 28-day supply**. However, government-insured patients (Medicare, Medicaid) and uninsured individuals have different pathways.[3][4][6][8] - **Intrarosa Savings Program**: For private/commercial insurance only. Not for Medicare, Medicaid, TRICARE, VA, or uninsured.[3][6][8] - **Patient Assistance for Financial Hardship**: Contact Cosette directly for potential free or low-cost medication if uninsured or underinsured. Also check NeedyMeds.org and RxAssist.org for programs.[2][3][6] No specific income thresholds are publicly listed for Cosette's programs, but assistance often targets those in financial need. Your doctor can help verify eligibility.[2][3] ## Income Eligibility Breakdown Cosette Cares doesn't publish fixed income limits online, focusing instead on insurance type and financial hardship. Here's a general guide based on similar programs: | Household Size | Typical Income Limit (e.g., 400-500% FPL)* | Notes | |---------------|--------------------------------------------|-------| | Individual | $60,000 - $75,000 annually | Varies; contact Cosette for details[2][3] | | Couple | $80,000 - $100,000 annually | Financial hardship assessment required[2][6] | | Family of 3 | $100,000 - $125,000 annually | Check NeedyMeds for updates[3][6] | | Family of 4 | $120,000 - $150,000 annually | Programs adjust yearly[3] | *Federal Poverty Level (FPL) estimates for 2026; actual eligibility determined by Cosette. Call for personalized review.[2][3][6] ## Insurance Requirements - **Commercial/Private Insurance**: Eligible for $35 copay card. Activate at intrarosasavingscard.com or via 1-312-265-4989.[3][6][8] - **Medicare Part D**: Savings card **not valid**. Request tier exception, prior authorization, or step therapy (e.g., try generic estradiol first). Search NeedyMeds for PAPs.[3][6] - **Medicaid/Uninsured**: Contact Cosette Cares for hardship programs. Provide proof of income, residency, and prescription.[2][3][6] Some plans cover Intrarosa but may require prior authorization. Work with your doctor.[3] ## Step-by-Step Application Process 1. **Get Prescribed**: Ask your healthcare provider for Intrarosa. Discuss symptoms and alternatives.[1][4] 2. **Check Insurance**: Confirm coverage. If commercial, get savings card.[3] 3. **Enroll in Savings Program** (Commercial Insurance): - Visit us.intrarosa.com/savings-and-support or intrarosasavingscard.com. - Provide prescription and insurance details. - Receive digital/physical card for pharmacy use.[3][4][6][8] 4. **For Uninsured/Government Insurance**: - Call Cosette Cares (find number on cosettepharma.com or prescription).[2] - Or visit needymeds.org/rxassistance or rxassist.org; search "Intrarosa".[3][6] - Submit application with income proof (tax return, pay stubs), ID, prescription.[3] 5. **Pharmacy**: Present card/prescription. Mail-order may reimburse via 1-312-265-4989.[8] Your doctor's office may have savings cards—ask![6] ## Timeline and Delivery - **Savings Card**: Instant activation; use at most pharmacies immediately.[6] - **Patient Assistance**: Processing varies (1-4 weeks typically for PAPs). Once approved, medication ships directly to your home or pharmacy via mail-order.[3][6] - **Refills**: Savings card valid up to 12 fills/year (check terms). PAPs require reauthorization.[8] Track via program portal or phone.[8] ## Alternatives if Denied or Ineligible - **Discount Cards**: GoodRx, SingleCare for uninsured (20-80% off).[3] - **Generic Options**: Vaginal estradiol cream/tablets ($20-120/month). Ospemifene (Osphena) oral tablet.[3] - **Other Treatments**: Non-drug options like moisturizers (Replens), lubricants, pelvic floor therapy, or laser treatments. Discuss with doctor.[3] - **Appeal**: Resubmit with more docs or request prior auth.[3][6] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Programs change; always verify with Cosette Pharmaceuticals, your insurer, or doctor. Not medical advice. Intrarosa may not suit everyone—review full Prescribing Information and report side effects to FDA at 1-800-FDA-1088.[1][5] Consult healthcare provider before starting. Cosette not liable for application errors.

Program information last verified: March 30, 2026