Leukine

LeukineDirect Patient Assistance Program: How to Get Leukine at Low or No Cost

About This Program

The LeukineDirect Patient Assistance Program, administered by Partner Therapeutics, Inc., helps eligible patients access Leukine (sargramostim) at reduced or no cost. Leukine is a prescription medication used to shorten recovery time after chemotherapy in adult patients 55 and older with acute myeloid leukemia (AML) and to mobilize blood-forming cells for transplantation.[1]

If you've been prescribed Leukine but are concerned about cost, this program may help you get your medication without financial hardship.

Who Qualifies for This Program

You may be eligible for LeukineDirect if you meet these criteria:

• Income requirement: Your household income is at or below 500% of the Federal Poverty Level (FPL)[1]
• Insurance status: You are uninsured, underinsured, or have Medicare Part D coverage (evaluated case-by-case)[6]
• Program eligibility: You are ineligible for federal or state assistance programs[6]
• Prescription requirement: You have a valid prescription from your healthcare provider for Leukine

Income Eligibility Breakdown

The 500% FPL threshold means your household income can be significantly higher than the poverty line. Here's what this means for different household sizes in 2026:

Note: These are approximate 2026 figures. Actual FPL amounts are updated annually by the U.S. Department of Health and Human Services.

Insurance Requirements

Your insurance status affects your eligibility:

• Uninsured patients: Generally eligible
• Underinsured patients: Generally eligible (you have insurance but high out-of-pocket costs)
• Medicare Part D patients: Evaluated case-by-case for eligibility
• Medicaid patients: May be eligible depending on your state's program
• Federal/state program recipients: You are not eligible if you receive assistance through federal or state programs

If you have private insurance, the program will not pay claims that your insurance denies.[4]

How to Apply: Step-by-Step

Step 1: Gather Required Documents

Before starting your application, collect the following:

• Proof of income (choose one):[1]
  • Previous year's 1040 tax form
  • Social Security Retirement statement
  • Supplemental Social Security Income (SSI) documentation
  • SSA 1099 form from the previous year
  • Unemployment award letter
  • Other income documentation
• Medical information:
  • Your ICD-10 diagnosis code
  • Your height and weight
  • Any known drug allergies
• Insurance information (if applicable)
• HIPAA Authorization: You'll sign this to allow the program to access your medical information

Step 2: Complete the Application Form

You can obtain the application form by:

• Calling the LeukineDirect Reimbursement Hotline: (877) 353-8546[1]
• Mailing address: PO Box 501848, San Diego, CA 92150-1848[1]
• Fax: 855-881-6864[1]

The application requires signatures from both you (the patient) and your prescribing healthcare provider.[1] All required fields must be completed, or your application will be delayed.[1]

Step 3: Submit Your Application

You can submit your completed application by:

• Fax: 855-881-6864
• Mail: PO Box 501848, San Diego, CA 92150-1848
• Phone assistance: Call (877) 353-8546 for help

Program hours: Monday through Friday, 9:00 AM – 5:00 PM Eastern Time[1]

Step 4: Receive Your Medication

Once approved, your medication will be shipped directly to your healthcare provider's office.[6] Your provider will then dispense it to you according to your treatment plan.

Timeline and What to Expect

While the search results do not specify an exact approval timeline, applications are processed after all required documentation is received.[1] Incomplete applications will be delayed, so ensure all fields are filled out and all documents are included.

Your approval lasts for one year from the date you are approved into the program.[1] After one year, you will need to reauthorize your enrollment to continue receiving assistance.

What Happens If Your Application Is Denied

If your application is denied, you have options:

• Contact the program: Call (877) 353-8546 to understand why you were denied and whether you can appeal
• Verify your information: Ensure all income documentation and medical information is accurate and current
• Explore alternatives: Ask your healthcare provider about other financial assistance options or discuss whether a different treatment approach might be more affordable
• Reapply: If your circumstances change (such as a change in income or insurance status), you may reapply

Important Disclaimers

• Partner Therapeutics reserves the right to request additional documentation to confirm your eligibility at any time.[1]
• Once your health information is disclosed to the program, it may no longer be protected by federal or state privacy laws.[1]
• The program does not guarantee that insurance claims will be reimbursed, and Partner Therapeutics does not reimburse for claims denied by payers.[4]
• Your healthcare provider makes all final decisions about whether Leukine is appropriate for your condition.

Questions? Contact LeukineDirect

Phone: (877) 353-8546 (PTx Assist) Hours: Monday – Friday, 9:00 AM – 5:00 PM Eastern Time Fax: 855-881-6864 Mailing Address: PO Box 501848, San Diego, CA 92150-1848

The LeukineDirect team is ready to help you navigate the application process and answer questions about your eligibility.