LUPKYNIS

Indicated For

lupus nephritis

About This Medication

# **Aurinia Alliance** Patient Guide: How to Get **LUPKYNIS** (voclosporin) at Low or No Cost This guide explains the **Aurinia Alliance** program from **Aurinia Pharmaceuticals**, designed to help adults with active **lupus nephritis** access **LUPKYNIS** (voclosporin) affordably. It covers eligibility, steps to apply, and support options in simple terms. ## About **LUPKYNIS** (voclosporin) **LUPKYNIS** is the first FDA-approved oral treatment specifically for active lupus nephritis in adults. It works with other medicines, like low-dose steroids and immunosuppressants, to help control the disease and protect kidneys from damage. Lupus nephritis is a serious complication of systemic lupus erythematosus (SLE) that affects the kidneys. **LUPKYNIS** is taken as capsules twice daily (BID), starting at 23.7 mg (3 capsules of 7.9 mg each). Do not take it with cyclophosphamide—check with your doctor. Always follow the Prescribing Information, including the Boxed Warning, and Medication Guide. The typical dose is 180 capsules for 30 days (23.7 mg BID). Your doctor may adjust based on kidney function or other factors. Clinical trials showed it helps achieve complete kidney response while using lower steroids. ## Who Qualifies for **Aurinia Alliance**? **Aurinia Alliance** primarily supports **commercially insured** patients but also helps those with **Medicare**, **Medicaid**, underinsured, or uninsured status in some cases. It's not strictly needs-based with fixed income limits—eligibility focuses on insurance coverage and medical need. Key requirements: - Confirmed **SLE** and **lupus nephritis** diagnosis (often with renal biopsy). - Prescription from a U.S. doctor. - U.S. resident for 6+ months with a U.S. mailing address. - Primarily for those with commercial insurance; government programs supported variably. | Category | Details | |----------|---------| | **Income Thresholds** | No specific limits (needs-based: No). Primarily for commercially insured patients. Case-by-case for others. | | **Individual** | N/A | | **Couple** | N/A | | **Family of 3** | N/A | | **Family of 4** | N/A | | **FPL Percent** | N/A | Your **Nurse Case Manager** will review your situation. 97% of commercially insured patients pay less than $10 per fill, often $0 copay. ## Insurance Requirements - **Commercially insured**: Eligible for copay assistance ($0 copay for many), Bridge program for coverage delays. - **Medicare/Medicaid**: Supported; may need prior authorization (PA). Call to confirm coverage. - **Underinsured/Uninsured**: Free medication via Patient Assistance Program (PAP) in some cases, but not for those without insurance in Bridge program. **Bridge Prescription**: Optional free supply during insurance delays (requires patient authorization). Your specialty pharmacy handles PA if needed. ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Discuss **LUPKYNIS**. Download the doctor discussion guide from lupkynis.com. Get a prescription using the Patient Start Form. 2. **Gather Documents**: - Enrollment form (signed by you and doctor). - Insurance cards (medical, prescription, secondary). - Clinical chart notes: SLE/LN diagnosis dates, ISN classification, renal biopsy/pathology if available, labs. 3. **Enroll in **Aurinia Alliance****: Multiple ways: - Call **(833) 287-4642** (1-833-AURINIA). - Doctor faxes start form to Aurinia (primary fax or secondary: 1-502-509-0549). - Online resources at lupkynis.com or auriniaalliance.com. 4. **Your Team Activates**: Nurse Case Manager contacts you for support, insurance help, education. They coordinate everything. 5. **Approval and Start**: Once approved, medication ships via specialty pharmacy. **Reauthorization**: Required periodically—your doctor resubmits info. ## Timeline and Delivery Processing time varies (not specified; days to weeks based on insurance/PA). Bridge provides quick free supply during waits. **Delivery**: Shipped free to your home via specialty pharmacy. Refills: Specify # refills on form (e.g., 120/60 capsules options). Expect regular check-ins from your Nurse Case Manager. ## If Denied or No Alternatives - **Appeals**: Nurse Case Manager helps with PA appeals or coverage issues. - **Bridge**: Free interim supply. - **PAP**: Free meds for eligible uninsured/underinsured. - **Other Options**: Lupus Assistance Fund (waitlist); doctor/pharmacist for generics (none currently); online pharmacies if uninsured. - No biosimilars available. Contact **(833) 287-4642** immediately if issues. ## Benefits of **Aurinia Alliance** - Personalized Nurse Case Manager. - Insurance navigation. - Educational tools. - $0 copay for many. - Home delivery. Patients say: "My Nurse Case Manager coordinated with insurance and doctors to get coverage." ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, benefits, and terms may change. Confirm details with **Aurinia Alliance** at **(833) 287-4642**. Consult your doctor for treatment decisions. Aurinia provides meds free via PAP/Bridge but no billing to insurers/government. See full Prescribing Information for risks. Program for U.S. residents only. (Word count: 942)

Program information last verified: March 25, 2026