LIVDELZI

Indicated For

Primary biliary cholangitis (PBC)

About This Medication

# Gilead Support Path Program Patient Guide: How to Get LIVDELZI® (seladelpar) at Low or No Cost ## About LIVDELZI® (Seladelpar) LIVDELZI® is a prescription medication manufactured by Gilead Sciences, Inc. If your healthcare provider has prescribed LIVDELZI® for you but cost is a concern, the Gilead Support Path Program may be able to help you access this medication at reduced or no cost through their Patient Assistance Program (PAP). ## Who Qualifies for the Gilead Support Path Program? The Gilead Support Path Program is designed to help patients who face financial barriers to accessing their prescribed Gilead medications. To qualify for the Patient Assistance Program specifically, you must meet the following criteria: **Insurance Status:** You must be **uninsured** (lacking health insurance through any public or private payer). The program also serves underinsured patients who may qualify for co-pay savings assistance. **Residency:** You must be a resident of the United States or U.S. territories, including Puerto Rico. **Healthcare Provider:** You must be receiving treatment from a licensed U.S. healthcare provider who has prescribed LIVDELZI® for you. **Financial Need:** While specific income thresholds are not publicly listed, the program is needs-based, meaning you must demonstrate financial hardship or inability to afford your medication. ## Income Eligibility The Gilead Support Path Program does not publish specific income limits. Instead, the program evaluates each patient's individual financial situation. During the enrollment process, you will be asked to provide proof of income or financial hardship documentation to verify your eligibility. This may include: - Tax returns - W-2 forms - Recent pay stubs (typically the last two) - Other documentation demonstrating financial need If you are unsure whether your income qualifies, the Support Path team can help determine your eligibility during the application process. ## Insurance Requirements and Options **For the Patient Assistance Program (PAP):** You must be uninsured. If you have any health insurance coverage through a government program (such as Medicare or Medicaid) or a private insurer, you would not qualify for the free medication PAP. However, you may still be eligible for other Support Path offerings. **For Commercially Insured Patients:** If you have private health insurance, you may qualify for the Support Path **co-pay savings program**, which can help reduce your out-of-pocket costs for LIVDELZI®. Contact Support Path to learn more about this option. **Important Note:** If you are approved for the PAP, you certify that you have not received and will not seek reimbursement for any Gilead medication dispensed through the PAP from any government program or third-party insurer. ## Step-by-Step Application Process ### Step 1: Gather Required Documents Before starting your application, collect the following: - Completed Support Path enrollment form - A copy of the front and back of your insurance card (if applicable) - Proof of identity (such as an ID card or driver's license) - Proof of income or financial hardship documentation (tax return, W-2, recent pay stubs, etc.) - Your prescription for LIVDELZI® from your healthcare provider ### Step 2: Complete the Enrollment Form You can complete your enrollment form in one of two ways: **Online:** Visit www.MySupportPath.com to complete an electronic enrollment form. This option allows you to submit your form and documentation digitally. **By Mail or Fax:** Download the Support Path Patient Enrollment Form and complete all applicable sections. Mail or fax the completed form along with all required documentation to: - **Fax:** 1-855-298-8700 - **Mail:** Address available on the enrollment form ### Step 3: Submit Your Application If submitting electronically through iAssist, you can register in as little as 5 minutes and submit your form directly. If using fax or mail, ensure all pages of the enrollment form are completed and all required documentation is included. Incomplete applications may slow the review process and require you to reapply. ### Step 4: Await Review and Contact After submitting your form, expect a call from a dedicated Support Path Program Specialist within **2 business days**. They will walk you through the next steps, answer your questions, and inform you of your eligibility status. ### Step 5: Receive Your Medication If approved, the Support Path program will coordinate with a dispensing pharmacy to ship your medication directly to you. You authorize the PAP and its administrator to forward your prescription to the pharmacy on your behalf. ## Timeline and Delivery **Application Review:** Applications are usually reviewed within **2 business days** of submission. **Approval Notification:** After review is complete, a Support Path Program Specialist will contact you to confirm your enrollment and eligibility status. **Medication Delivery:** Once approved, your medication will be shipped to you through the Support Path dispensing pharmacy. Specific delivery timelines depend on pharmacy processing and shipping. ## What If Your Application Is Denied? If you are not approved for the Patient Assistance Program, the Support Path team will discuss alternative options with you, which may include: - Other financial assistance programs - Co-pay savings programs (if you have insurance) - Information about state health insurance assistance programs - Referrals to other resources that may help you access affordable medication You can also reapply if your financial situation changes or if you obtain insurance coverage. ## Reauthorization and Refills The Support Path program may require periodic verification of your eligibility and insurance status. Support Path may contact you to confirm receipt of medication and to update your information as needed. If your circumstances change—such as obtaining insurance coverage—notify Support Path immediately, as this may affect your eligibility for continued assistance. ## Getting Help If you have questions about the application process or need assistance, contact the Support Path team: - **Phone:** 1-855-7-MYPATH (1-855-769-7284) - **Hours:** Monday–Friday, 9 AM to 8 PM ET - **Fax:** 1-855-298-8700 - **Website:** www.MySupportPath.com Program specialists are available to answer questions and help guide you through enrollment. ## Important Disclaimer This guide provides general information about the Gilead Support Path Program based on publicly available information as of March 2026. Program details, eligibility requirements, and offerings may change. For the most current and accurate information, contact Support Path directly or visit www.MySupportPath.com. This guide is not a guarantee of program eligibility or approval. Each application is reviewed individually based on the applicant's specific circumstances. Always consult with your healthcare provider about your treatment options and medication access.

Program information last verified: March 30, 2026