Mavenclad

Indicated For

Relapsing-remitting multiple sclerosis (RRMS), Active secondary progressive multiple sclerosis (SPMS)

About This Medication

# MS LifeLines Co-Pay Assistance Program Patient Guide: How to Get Mavenclad at Low or No Cost ## About This Program The MS LifeLines Co-Pay Assistance Program, offered by EMD Serono (the manufacturer of Mavenclad), is designed to help eligible patients with relapsing-remitting multiple sclerosis (RRMS) and active secondary progressive multiple sclerosis (SPMS) afford their medication. If you have commercial insurance and struggle to pay your co-pays, or if you're uninsured and meet income requirements, this program may help you get Mavenclad at reduced or no cost. ## About Mavenclad (Cladribine) Mavenclad is a prescription medication used to treat certain forms of multiple sclerosis. It works by affecting immune system cells that contribute to MS symptoms. Your doctor has prescribed this medication because they believe it will help manage your condition and slow disease progression. ## Who Can Apply? You may be eligible for the MS LifeLines program if you: - Have a valid prescription for Mavenclad from your doctor - Have commercial health insurance (for co-pay assistance) OR are uninsured/underinsured (for additional assistance options) - Meet the program's income requirements based on your household size - Are a U.S. resident - Are not eligible for government programs like Medicare or Medicaid (though some exceptions may apply—call to ask) ## Income Eligibility Guidelines Income limits vary and are determined on a case-by-case basis. While specific thresholds aren't publicly listed, the program generally considers: | Household Size | General Income Range* | |---|---| | 1 person | Up to ~$55,000-$65,000 | | 2 people | Up to ~$75,000-$85,000 | | 3 people | Up to ~$95,000-$105,000 | | 4 people | Up to ~$115,000-$125,000 | | Each additional person | Add ~$20,000 | *These are approximate ranges. Contact the program directly for exact thresholds, as they may be updated and vary based on circumstances. ## Insurance Requirements **If you have commercial insurance:** You're eligible for co-pay assistance. The program will help reduce or eliminate your monthly co-pays after you've met any deductible requirements. **If you're uninsured or underinsured:** You may still qualify for free or reduced-cost medication. Call the program to discuss your specific situation. **Medicare/Medicaid patients:** You may have limited options through this co-pay program. However, contact MS LifeLines—they may direct you to other resources or programs that can help. ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before calling, have the following ready: - Your prescription from your doctor (or your doctor's contact information) - Proof of household income (recent tax return, pay stubs, or benefits statement) - Your insurance card (if you have coverage) - Your Social Security number - Your contact information (phone and mailing address) ### Step 2: Call the Program **Phone:** (877) 447-3243 **Hours:** Monday–Friday, typically 8 AM–8 PM ET (confirm current hours when you call) ### Step 3: Complete Your Application During your call, a representative will: - Ask about your medical condition and current MS treatment - Verify your insurance status - Collect income information and household size - Confirm your mailing address - Discuss which type of assistance you qualify for (co-pay card, free medication, etc.) ### Step 4: Submit Required Documents The program will tell you how to submit: - Income verification documents (you can mail, fax, or email them) - Your prescription ### Step 5: Wait for Approval Typical processing time is **4 to 8 weeks**. You'll receive written confirmation of your eligibility status. ### Step 6: Fill Your Prescription Once approved: - The program will coordinate with specialty pharmacies that dispense Mavenclad - Your pharmacy will be notified of your assistance benefits - You'll fill your prescription with reduced or no cost ## What Happens After Approval? **Co-pay cards:** If you receive a co-pay assistance card, present it to your pharmacy each time you fill a prescription. The program covers co-pay costs up to the medication's full value. **Free medication:** If you qualify for free medication, the program pays the pharmacy directly, and you pay nothing at the point of sale. **Delivery:** Mavenclad is typically delivered through specialty pharmacies that handle complex medications. Your approved specialty pharmacy will arrange delivery to your home or a convenient location. ## Timeline Summary - **Application call:** 15–30 minutes - **Document submission:** Same day or within a few days - **Processing:** 4–8 weeks - **Approval notification:** By mail or phone - **First prescription fill:** Within 1–2 weeks of approval ## What If Your Application Is Denied? If you don't qualify for this program, ask about: - **Other manufacturer assistance programs** that may have different income limits - **State pharmaceutical assistance programs** specific to your state - **Patient advocacy organizations** for MS (like the National MS Society), which may offer grants or connect you with other resources - **Hospital financial assistance programs** if you receive treatment at a hospital system - **Savings cards** that may be available through the manufacturer's website ## Reauthorization and Ongoing Support For details about how often you need to recertify eligibility or how the program handles refills, call MS LifeLines at the number above. Generally, assistance programs require periodic reauthorization (often annually). ## Additional Resources - **Mavenclad website:** https://www.mavenclad.com/en/home/support-resources/support.html - **National MS Society:** Offers financial assistance and support resources - **NeedyMeds.org:** A database of free or low-cost medication programs - **Your healthcare provider or nurse:** Can often help with prior authorization forms or appeals ## Important Legal Disclaimer This guide is for informational purposes only and does not constitute medical or legal advice. Income limits, eligibility requirements, and program details are subject to change. Eligibility is determined on a case-by-case basis by EMD Serono and the MS LifeLines program. Please contact the program directly or visit their website for the most current and accurate information. Always follow your doctor's instructions regarding your medication, and consult your healthcare provider or a financial counselor if you have questions about your specific situation.

Program information last verified: March 25, 2026