Eligibility Criteria
Insurance Requirement
See program details
Residency
US residency required
Program Information
Processing Time
2–8 weeks
Delivery Method
Varies by program
Application Method
Online
Indicated For
hypertriglyceridemia, hypercholesterolemia
About This Medication
# Lofibra (Fenofibrate Micronized) Patient Guide: How to Get Help Paying for Your Medication at Low or No Cost Lofibra (fenofibrate micronized) is a prescription medication used to help lower high cholesterol and triglyceride levels in the blood, reducing the risk of heart disease, stroke, and other cardiovascular issues. This guide explains patient assistance options since there is no dedicated manufacturer-sponsored program specifically for Lofibra. Instead, eligible patients can access free or low-cost Lofibra through nonprofit programs like RxOutreach, PAN Foundation (for copays), and HealthWell Foundation (Medicare patients), as well as government programs like Medicare Extra Help.[1][2][3][4] ## About Lofibra (Fenofibrate Micronized) **Lofibra** belongs to a class of drugs called fibrates. It works by increasing the activity of an enzyme that breaks down fats in the blood, specifically lowering triglycerides and bad cholesterol (LDL) while raising good cholesterol (HDL). Doctors prescribe it for adults with primary hypercholesterolemia or mixed dyslipidemia, often alongside diet, exercise, and sometimes statins.[1][5] Common side effects include stomach pain, nausea, back pain, and headache. Serious risks involve muscle problems (rhabdomyolysis), liver issues, or gallstones—contact your doctor if you experience unusual muscle pain, dark urine, or yellowing skin. Always take as prescribed, usually with food, and inform your doctor of kidney or liver conditions, as dosage adjustments may be needed.[1][5] Without insurance or assistance, Lofibra can cost $100–$300 monthly, but programs below can make it free or reduce copays significantly.[7] ## Who Qualifies for Assistance? No single manufacturer program exists for Lofibra (formerly by Abbott, now generic).[6] Focus on these key options: - **RxOutreach Patient Assistance Program**: Offers **free Lofibra** (fenofibrate micronized capsules) to uninsured or underinsured patients who cannot afford medications. Qualification based on financial need, U.S. residency, and valid prescription.[2] - **PAN Foundation Hypercholesterolemia Fund**: Provides up to **$3,800/year** for copays/deductibles if insured. Open to those with hypercholesterolemia diagnosis.[3] - **HealthWell Foundation Hypercholesterolemia Medicare Access Fund**: Copay help for Medicare patients on fenofibrate micronized; refers non-Medicare to other programs.[4] - **Medicare Extra Help (LIS)**: Federal program for Part D enrollees with low income/assets. Covers premiums, deductibles, and copays (as low as $4.50/generic).[1][5] State programs (e.g., PA's PACE/PACENET) or GoodRx coupons offer additional savings.[1] ## Income Eligibility Breakdown Income limits vary by program and household size, often tied to **Federal Poverty Level (FPL)**. As of 2026, FPL for contiguous U.S. is roughly $15,060 (individual), $20,440 (couple), $25,820 (family of 3), $31,200 (family of 4)—check SSA.gov for exacts, as they adjust yearly. | Household Size | Medicare Extra Help (≤135% FPL + assets ≤$17,550 single/$35,000 couple) | PAN Foundation (typically ≤500% FPL, case-by-case) | RxOutreach/HealthWell (financial need, no strict FPL; income proof required) | Notes | |---------------|-------------------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------------------------|-------| | Individual | ≤$20,331/year | Up to $75,300/year (500% FPL) | Low income; unemployed/underemployed prioritized | Assets exclude home/car [1][3] | | Couple | ≤$27,594/year | Up to $102,240/year | Household income considered | Proof: tax returns/paystubs [2] | | Family of 3 | ≤$34,857/year | Up to $129,180/year | Includes dependents | Alaska/HI higher [4] | | Family of 4 | ≤$42,120/year | Up to $156,120/year | Full financial picture reviewed | Annual renewal often [3] | **Notes**: Extra Help auto-applies if Medicaid-eligible; apply via SSA. PAN/HealthWell review household adjusted gross income. RxOutreach assesses overall need.[1][2][3][4] ## Insurance Requirements - **RxOutreach**: Best for uninsured; may accept underinsured if no coverage for med.[2] - **PAN/HealthWell**: **Requires private insurance or Medicare Part D**; no Medicaid. HealthWell is Medicare-only.[3][4] - **Medicare Extra Help**: Must have Part D; eliminates most costs.[1][5] If insured, check 90-day supplies for lower copays. GoodRx works alongside insurance.[1] ## Step-by-Step Application Process 1. **Consult your doctor/pharmacist**: Confirm Lofibra need; get prescription. Ask about PAN/HealthWell enrollment.[3] 2. **Check Medicare Extra Help**: Apply at ssa.gov/extrahelp or call 1-800-772-1213. Provide income/assets.[1] 3. **Apply to RxOutreach for free med**: Visit rxoutreach.org, search fenofibate micronized. Download form, mail with proof of income, prescription, ID. Or call for help.[2] 4. **PAN Foundation (copay)**: Go to panapply.org, create account (1-2 days), submit diagnosis, insurance ID, income, provider info. Or call 1-866-316-7263 (M-F 9AM-5:30PM ET).[3] 5. **HealthWell (Medicare)**: healthwellfoundation.org, apply online for fund. Needs Medicare proof.[4] 6. **Use GoodRx**: Print coupon at goodrx.com/lofibra for instant pharmacy discounts (up to 80% off).[1][7] Have ready: SSN, income docs (tax return/W-2/paystubs), insurance card, prescription.[3] ## Timeline and Delivery - **Approval**: Extra Help: 4-6 weeks. PAN/HealthWell/RxOutreach: 1-2 weeks online, 2-4 weeks mail. Phone apps faster.[3] - **Delivery**: RxOutreach ships free to your home (3-month supply). PAN/HealthWell send copay card/debit for pharmacy. Extra Help updates Part D instantly upon approval.[1][2][3] Track status online or by phone. 90-day supplies speed refills.[1] ## Alternatives if Denied or Ineligible - GoodRx coupons: $20–$50/month at pharmacy.[7] - Medicare Payment Plan: Spread Part D costs monthly (no savings, but affordable).[1][5] - State programs: Search medicare.gov for SPAPs.[1] - Generic fenofibrate: Cheaper alternative; same active ingredient.[5] - Other copay funds: NeedyMeds.org or RxAssist.org list more.[2] - International pharmacies (verify safety).[7] No biosimilars for Lofibra (small molecule generic). ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, benefits, and availability change—verify with programs directly. Consult your healthcare provider before starting/stopping Lofibra. Programs may close funds if oversubscribed. Data current as of March 2026; check sources for updates.[1][2][3][4]
Program information last verified: March 30, 2026
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