LUPKYNIS

Indicated For

lupus nephritis

About This Medication

# Aurinia Alliance Patient Guide: How to Get LUPKYNIS (voclosporin) at Low or No Cost LUPKYNIS (voclosporin) is an FDA-approved oral medication used with other medicines to treat adults with **active lupus nephritis (LN)**, a serious kidney complication of systemic lupus erythematosus (SLE). The **Aurinia Alliance** program from Aurinia Pharmaceuticals helps eligible patients access LUPKYNIS at low or no cost through copay assistance, bridge programs, and more, with 97% of shipments costing patients $10 or less.[1][4] ## About LUPKYNIS and Lupus Nephritis **Lupus nephritis** occurs when lupus attacks the kidneys, potentially leading to irreversible damage if untreated. LUPKYNIS is the first oral therapy specifically approved for active LN in adults, working to help control the disease alongside low-dose steroids while protecting kidney function.[3][7] It comes in capsules (7.9 mg) taken twice daily. Importantly, do not take it with cyclophosphamide—discuss with your doctor.[3] This guide explains how **Aurinia Alliance** makes treatment affordable and accessible. The program offers a dedicated **Nurse Case Manager** for personalized support, educational tools, insurance help, and direct delivery from a specialty pharmacy.[1][2] ## Who Qualifies for Aurinia Alliance? Aurinia Alliance primarily supports **commercially insured patients**, but also assists those with Medicare, Medicaid, underinsured, or uninsured status through options like copay cards, bridge programs, and patient assistance.[1][4][8] Key requirements include: - U.S. residency for 6+ months with a valid U.S. mailing address.[2] - Confirmed **SLE and LN diagnosis** (diagnosis codes: M32.14 for LN, M32.10 for SLE).[2] - Prescription from a healthcare provider. **97% of patients** (commercial, Medicaid, Medicare) paid $10 or less per shipment from 2022-2023 data.[1][4] Eligible commercial patients may get **$0 copay**.[4] ### Income Eligibility Breakdown Aurinia Alliance focuses on insurance status over strict income limits, prioritizing commercially insured patients for copay help (as low as $10 out-of-pocket). No specific Federal Poverty Level (FPL) thresholds are listed, making it accessible without rigid income caps.[program data] For uninsured or low-income patients, a Patient Assistance Program (PAP) may provide free medication if you meet financial criteria—call to confirm.[2][5] | Household Size | Income Threshold | FPL % | Notes | |---------------|------------------|-------|-------| | Individual | Not specified | N/A | Primarily commercial insurance; PAP for uninsured/low-income. | | Couple | Not specified | N/A | Contact Aurinia for PAP eligibility. | | Family of 3 | Not specified | N/A | Bridge program for coverage delays. | | Family of 4 | Not specified | N/A | 97% pay ≤$10 with support. | [program data][1] Always verify with your Nurse Case Manager, as options vary by situation.[4] ## Insurance Requirements **Commercially insured** patients are the main focus, with copay assistance reducing costs to $0-$10 per fill.[1][4][8] Medicare and Medicaid patients also benefited in 97% of cases (≤$10).[1] The program helps navigate prior authorizations (PA) and appeals. Uninsured patients may qualify for PAP or bridge supply, but bridge requires insurance pursuit.[2][6] Submit insurance cards with enrollment.[6] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Get a prescription for LUPKYNIS. Ask them to complete the **Patient Start Form** (prescription + enrollment).[2][6] 2. **Gather Documents**: - Enrollment/Start Form (signed by patient and prescriber).[2] - Proof of insurance (front/back of cards).[2][6] - Prescriber certification. - Clinical docs: SLE/LN diagnosis date, ISN classification, renal biopsy/pathology if available, labs/chart notes.[2] 3. **Submit Application** (multiple methods): - **Call**: 1-833-AURINIA (1-833-287-4642), 8am-8pm ET.[1][2] - **Fax Start Form**: 1-833-213-1001 (primary) or 1-502-509-0549 (secondary).[2] - **eRx**: Send to PharmaCord (NABP 1836191).[6] - Email support: support@AuriniaAlliance.com.[6] 4. **Enroll in Aurinia Alliance**: Get assigned a Nurse Case Manager for insurance coordination.[1] 5. **Optional Bridge Program**: Free limited supply while awaiting coverage (requires patient authorization; not for uninsured).[2][6] Your Nurse Case Manager guides you, answers questions, and checks in regularly.[1] ## Timeline and Delivery Processing time varies by insurance PA/approval, but bridge provides quick access during delays.[2][6] Once approved, LUPKYNIS ships **directly to your home** via specialty pharmacy.[1][2] Refills require **reauthorization**—your team handles this.[program data] Track with your Nurse Case Manager; 97% of shipments were low-cost.[1] ## Alternatives if Denied - **Appeal with Help**: Nurse Case Manager assists with PA appeals using clinical docs.[1][2] - **Bridge Program**: Free interim supply if pursuing coverage.[6] - **PAP for Uninsured/Low-Income**: Free meds if eligible (contact for criteria).[5] - **Other Funds**: Lupus Assistance Fund (waitlist possible).[8] - Discuss generics/biosimilars (none currently) or trial other LN therapies with your doctor.[program data] No biosimilar alternatives listed.[program data] ## Important Disclaimer This guide is for informational purposes based on available program details as of latest data. Eligibility, benefits, and terms can change—**always contact Aurinia Alliance at 1-833-287-4642** for personalized advice. LUPKYNIS has a Boxed Warning; review full Prescribing Information and Medication Guide with your doctor. Not a substitute for medical advice. Program not for patients billing government programs for free meds.[2][3]

Program information last verified: March 30, 2026