Korlym

Indicated For

Cushing syndrome hyperglycemia

About This Medication

# SPARK (Support Program for Access and Reimbursement for Korlym) Patient Guide: How to Get Korlym at Low or No Cost Korlym (mifepristone) is a prescription medication used to control high blood sugar (hyperglycemia) caused by too much cortisol in adults with Cushing's syndrome, a condition known as hypercortisolism. The **SPARK** program from **Corcept Therapeutics** helps eligible patients access Korlym at low or no cost by verifying insurance, handling prior authorizations, and providing financial assistance options like copay help or free medication.[1][4][9] ## About Korlym and Why You Might Need It **Korlym** works by blocking cortisol receptors, helping manage symptoms of hypercortisolism such as high blood sugar, high blood pressure, and other issues linked to excess cortisol from Cushing's syndrome. It's not available at regular pharmacies—only through SPARK's specialty pharmacy partners, which ship it directly to your home.[1][4] Common side effects include nausea, muscle aches, vomiting, thickening of the endometrium (uterine lining), low potassium, swelling, and changes in blood pressure or sugar levels. Always discuss risks with your doctor, especially if you have endometrial issues, take corticosteroids, or are pregnant—Korlym can harm an unborn baby.[2][3] Your doctor will monitor your potassium, blood sugar, blood pressure, and endometrial thickness regularly. A SPARK pharmacist is available 24/7 at **1-855-767-2273** to check for drug interactions and answer questions.[1][4] ## Who Qualifies for SPARK? SPARK supports **underinsured** and **uninsured** patients in the US and Puerto Rico. It's needs-based, with no insurance required. Benefits include: - Insurance verification and prior authorization (PA) help—SPARK can submit PAs or prepare forms for your doctor.[4][8] - **Copay and deductible assistance** for commercially insured patients.[1][4] - **Patient Assistance Program** or **no-cost Korlym** for uninsured or denied patients.[1][4][5] - Referral to independent nonprofits if needed.[4][5] Qualifying patients diagnosed with hyperglycemia due to endogenous Cushing's syndrome (confirmed by your doctor) can enroll. SPARK coordinators guide you through options.[1][5] ## Income Eligibility Breakdown SPARK does not publish fixed income thresholds like Federal Poverty Level (FPL) percentages. Instead, **SPARK reimbursement specialists evaluate each patient's financial situation** to determine eligibility for assistance programs, copay help, or free medication. Uninsured patients may be referred to the Patient Assistance Program or independent organizations.[1][4][5] Here's a summary table of assistance tiers based on program details: | Patient Status | Assistance Options | Key Notes | |---------------|-------------------|-----------| | **Commercially Insured** | Copay/deductible assistance | Verifies benefits; helps with PA[1][4] | | **Underinsured** | Copay help; alternate funding | Coordinator researches options[4][5] | | **Uninsured** | No-cost Korlym; Patient Assistance Program | Referred to nonprofits if needed[1][4][5] | | **Denied Coverage** | Free medication while appealing; independent orgs | SPARK assists with appeals[1][4] | Contact SPARK at **1-855-767-2273** for a personalized eligibility review.[4][5] ## Insurance Requirements No insurance is needed, but SPARK verifies your benefits if you have coverage. They handle PAs (most insurers require them) and inform you if your doctor must submit.[4][8] Let your coordinator know about insurance changes. Medicare patients may qualify for assistance, but confirm via phone as specifics vary.[5] SPARK ensures underinsured patients get copay support.[1][4] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: They complete the **SPARK Patient Enrollment Form** (serves as your prescription) with diagnosis details (e.g., Cushing's ICD codes like E24.2) and fax it to **1-877-858-7746**.[4][5][8] 2. **Provide Authorization**: Sign the patient section authorizing SPARK to share your protected health information (PHI).[8] 3. **Submit Documents**: Include prescription, enrollment form, clinical notes for PA if needed (e.g., labs showing hypercortisolism), and PHI authorization.[4][8] 4. **SPARK Reviews**: A Patient Access Coordinator calls to verify insurance, check financial aid eligibility, and coordinate coverage. They may refer you to copay programs or nonprofits.[1][4][5] 5. **Pharmacist Consultation**: Once approved, transfer to a SPARK pharmacist for drug interaction review and treatment education.[1][4] 6. **Schedule Delivery**: Coordinator arranges shipment to your home.[4] Call **1-855-767-2273** (SPARK) or **1-855-456-7596** for support.[2][4] ## Timeline and Delivery Processing varies by insurance/PA needs—SPARK aims for quick verification, often calling within days to schedule delivery. Once coverage is set, your first shipment is coordinated promptly, with the pharmacy contacting you and your doctor for refills.[4][5] Medication ships directly to your home via specialty pharmacy.[1][4] Expect 24/7 pharmacist access throughout.[1] ## Alternatives if Denied or Ineligible If denied, SPARK offers no-cost Korlym during appeals, refers to independent nonprofits, or explores other funding. Your coordinator handles this. No biosimilars exist for Korlym. Discuss generic options or trials with your doctor, but SPARK is the primary access path.[1][4][5] Contact Corcept Cares advocates for emotional/financial guidance.[1] ## Important Disclaimer This guide is for informational purposes only and not a substitute for professional medical or financial advice. Eligibility, benefits, and terms can change; always verify with SPARK at **1-855-767-2273**. Korlym has serious risks—consult your healthcare provider. Corcept Therapeutics and SPARK do not guarantee approval. Program valid for US/Puerto Rico residents.[1][4][5][8]

Program information last verified: March 30, 2026