Makena

Indicated For

preterm birth prevention

About This Medication

# Makena Care Connection Patient Guide: How to Get Makena at Low or No Cost Makena (hydroxyprogesterone caproate injection) is a prescription medication used to help reduce the risk of preterm birth in women with a history of singleton preterm delivery. The **Makena Care Connection** program, run by AMAG Pharmaceuticals, provides financial assistance, prescription support, and personalized help to make Makena more affordable and accessible for eligible patients. ## About Makena and Why It Matters Makena is given as weekly injections, typically starting between 16 and 20 weeks of pregnancy and continuing until 37 weeks or delivery. It works by helping to prevent preterm labor in at-risk pregnancies. Clinical studies showed it significantly lowers the chance of preterm birth before 37 weeks.[1] Each injection is important, and timely access can make a big difference for you and your baby. The Makena Care Connection offers more than just medication—it includes a dedicated **Care Manager** to guide you through insurance, prescriptions, and support. They provide translation in over 240 languages, education, and even home delivery options.[1] ## Who Qualifies for Makena Care Connection? This program helps **commercially insured patients** whose health plans cover Makena. You're not eligible if you have government insurance like **Medicaid or TRICARE**.[3] - **Commercially insured**: Get help with copays, coinsurance, or deductibles—up to **$5,000 total** or until therapy ends.[1] - **Uninsured or underinsured**: May qualify for a **free course of therapy** if eligible.[3][5] A key benefit: **No strict upper income limits**. Eligibility is based on your **household income**, evaluated case-by-case. Costs per injection adjust to your income level.[1] ## Income Eligibility Breakdown Unlike many programs with fixed Federal Poverty Level (FPL) cutoffs, Makena Care Connection reviews each application individually. There's no set cap (e.g., 400% FPL), but lower incomes often get more assistance. | Household Type | Example Income Thresholds (Historical Guidance) | Notes | |---------------|------------------------------------------------|-------| | Individual | Up to $100,000 (older data) | Case-by-case; no hard cap [1][8] | | Couple | Up to $100,000+ | Evaluated per household [8] | | Family of 3 | Varies; focus on total income | Assistance scales with need [1] | | Family of 4 | No fixed limit | Proof of income required [5] | *Note: Older info (2011) mentioned caps at $60k-$100k for max benefits, but current program has **no upper-level caps**—call to confirm.[1][8] Provide recent pay stubs or tax returns for review. ## Insurance Requirements - **Must have commercial insurance** that covers Makena (not Medicare, Medicaid, VA, etc.).[3] - Program verifies benefits, handles prior authorizations, and processes e-prescriptions.[1] - If underinsured, extra help available.[3] - Fax insurance cards (front/back) with application.[2] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Ask them to prescribe Makena via e-prescribe or the **Makena Prescription Form** (download from makenahcp.com). Mark "Dispense as Written" to ensure branded Makena.[1][6] 2. **Contact Makena Care Connection**: Call **(800) 847-3418** (Mon-Fri, 8 AM-8 PM ET) or visit info@makenacareconnection.com. Your Care Manager will start enrollment.[1][2] 3. **Submit Documents**: - **Proof of income** (pay stubs, tax return). - **Prescription** from doctor. - **Insurance cards** (front/back).[2][5] Fax to **1-800-847-3413**.[2] 4. **Sign Consent**: Allows program to verify insurance and coordinate care.[2][4] 5. **Approval & Start**: Program handles insurance checks and prior auths for quick access.[1] Applications can't be retroactive—enroll early.[1] ## Timeline and Delivery Processing time varies but aims for speed due to pregnancy urgency. Expect calls from your Care Manager or pharmacy—respond promptly.[2] Medication ships to **your doctor's office** or **your home** via healthcare professional.[1] - **Weekly injections**: Coordinated reminders and support. - Supplies: Up to 5 doses initially; more as needed.[5] ## Alternatives If Denied or Seeking Options - **Generic 17-alpha hydroxyprogesterone caproate**: Lower-cost biosimilar alternative; ask your doctor.[provided data] - Appeal denial or reapply with updated info. - Other PAPs via rxhope.com or neald.org. - If uninsured, explore state programs (but Makena Care ineligible for government insurance).[5] ## Important Disclaimer This guide is for informational purposes only and based on publicly available program details as of 2026. Eligibility, benefits, and terms can change—**always call (800) 847-3418** for your situation. Not medical advice; consult your healthcare provider. AMAG Pharmaceuticals reserves rights to modify program. Assistance subject to health plan rules.[1][2]

Program information last verified: March 30, 2026