Mepsevii

Indicated For

Mucopolysaccharidosis VII, MPS VII, Sly syndrome

About This Medication

# UltraCare Patient Assistance Program Guide: Getting Mepsevii at Low Cost ## About This Program The UltraCare Patient Assistance Program helps patients with mucopolysaccharidosis VII (MPS VII, also called Sly syndrome) afford Mepsevii (vestronidase alfa-vjbk), a critical enzyme replacement therapy. If you're uninsured or underinsured, this program may reduce or eliminate your out-of-pocket costs for this expensive medication. ## Who Qualifies You may be eligible if you meet these criteria: - You have a valid prescription for Mepsevii from your doctor - You are uninsured or underinsured (meaning your insurance doesn't adequately cover this medication) - Your household income falls within program limits - You are a U.S. resident ### Income Limits Income eligibility varies based on household size and changes annually. The program uses a sliding scale approach, meaning higher household incomes may still qualify depending on circumstances. Contact UltraCare directly at the program website for current income thresholds, as they are updated yearly and account for individual circumstances. ## Insurance Coverage This program works with multiple insurance types: - **Uninsured patients**: Full eligibility for assistance - **Underinsured patients**: Eligible if your insurance plan doesn't adequately cover Mepsevii or your out-of-pocket costs are too high - **Medicare/Medicaid patients**: May qualify depending on coverage gaps The program coordinates with your insurance to ensure you receive maximum benefits. Even if your insurance partially covers Mepsevii, you may still qualify for additional assistance with copays, coinsurance, or deductibles. ## What You'll Need to Apply Gather these documents before applying: 1. **Valid prescription** for Mepsevii from your healthcare provider 2. **Proof of income** (recent tax return, W-2, pay stubs, or benefit statements) 3. **Proof of U.S. residency** (driver's license or state ID) 4. **Insurance information** (if you have coverage) Have these ready to speed up the application process. ## How to Apply: 4 Simple Steps **Step 1: Gather Documents** Collect your prescription and income verification documents listed above. **Step 2: Visit the Program Website** Go to https://www.ultracaresupport.com/mepsevii/ to access the application portal or download a paper application form. **Step 3: Complete Your Application** You can apply through multiple methods: - Online via the website portal - By phone (contact information available on the website) - By mail with a paper form Provide accurate information about your household income and insurance coverage. The application usually takes 15–20 minutes. **Step 4: Submit and Wait for Decision** Submit your application with supporting documents. The UltraCare team will review your eligibility and contact you with a decision. ## Timeline and Cost Relief Most applicants receive a decision within 7–10 business days. Once approved, your medication assistance begins immediately. You will not need to reapply annually—your approval continues as long as your circumstances remain stable. Cost relief typically includes: - Free or reduced-cost medication - Copay assistance - Deductible support - Coinsurance help ## Additional Savings Options In addition to the main assistance program, Ultragenyx offers a **savings card** that may provide additional discounts if you don't qualify for full assistance. Ask your pharmacy or doctor about this option. ## What Happens If You're Denied If your application is denied, you have options: - Request clarification on why you were denied - Reapply if your circumstances change (income reduction, job loss, insurance change) - Discuss alternative medication options with your doctor - Contact a patient advocate or social worker for additional resources ## Next Steps 1. **Talk to your doctor** to confirm Mepsevii is the right treatment 2. **Visit the website** at https://www.ultracaresupport.com/mepsevii/ to start your application 3. **Gather your documents** (prescription and income proof) 4. **Submit your application** online, by phone, or by mail 5. **Wait 7–10 business days** for approval MPS VII is a serious condition, and Mepsevii can significantly impact your health. Don't let cost be a barrier to treatment. The UltraCare program exists to help you access this medication affordably.

Program information last verified: March 25, 2026