Mycamine

Indicated For

candida prophylaxis, fungal infections

About This Medication

# Astellas Stock Replacement Program for Mycamine Patient Guide: How to Get Mycamine at Low or No Cost ## About This Program The **Astellas Stock Replacement Program for Mycamine** is a patient assistance program designed to help eligible patients access Mycamine (micafungin sodium) when they face financial or insurance barriers. This program is administered by Astellas Pharma US, Inc., the manufacturer of Mycamine. ## What is Mycamine? Mycamine is an antifungal medication called an echinocandin. It is used to treat serious fungal infections caused by Candida, including: - Candidemia (Candida in the bloodstream) - Acute disseminated candidiasis - Candida peritonitis and abscesses - Esophageal candidiasis - Prevention of Candida infections in patients undergoing hematopoietic stem cell transplantation (HSCT) Mycamine is approved for use in both adult and pediatric patients 4 months of age and older (with some limitations for younger infants). ## Who Qualifies for This Program? To be eligible for the Astellas Stock Replacement Program for Mycamine, you must meet the following criteria: - **Insurance Status**: You must meet specific insurance guidelines (eligibility criteria are not publicly disclosed by the manufacturer) - **Income Requirements**: You must meet income guidelines (specific thresholds are not publicly disclosed) - **Prescription**: You must have a valid prescription for Mycamine from your healthcare provider - **Setting of Care**: The program serves patients in multiple care settings, including inpatient hospitals, outpatient hospitals, physician offices, infusion clinics, and home health settings **Important Note**: Because specific income thresholds and insurance guidelines are not publicly available, you will need to contact the program directly or work with your healthcare provider to determine your eligibility. ## Income Eligibility The manufacturer does not publicly disclose specific income thresholds for this program. Income eligibility is determined on a case-by-case basis. Your healthcare provider, social worker, or physician office staff can contact the program to pre-screen you for enrollment and discuss your financial situation confidentially. ## Insurance Requirements This is a **stock replacement program**, which means it is designed to replace medication that has already been dispensed to a patient at a healthcare facility. The program works with patients who have insurance gaps or coverage limitations. Specific insurance requirements are not publicly disclosed, but the program can help evaluate your coverage and determine if you qualify. ## How to Apply: Step-by-Step Process ### Step 1: Contact Your Healthcare Provider Your doctor, social worker, or physician office staff must initiate the enrollment process. They will contact the program to pre-screen you for eligibility. ### Step 2: Receive Pre-Filled Application Once pre-screened, a pre-filled application will be sent to your healthcare provider's office. ### Step 3: Review and Sign Your healthcare provider will review the application for accuracy and add their physician signature. ### Step 4: Submit Financial Documents You will need to provide financial documents to support your application. These typically include: - Proof of income (recent pay stubs, tax returns, or benefit statements) - Proof of household size - Any other financial information requested on the application ### Step 5: Submit Application Your healthcare provider will submit the completed application and your financial documents by fax or mail to: **Astellas Reimbursement Services** P.O. Box 22708 Charlotte, NC 28222-0708 Phone: 1-(800) 477-6472 Fax: 1-(866) 317-6235 ### Step 6: Approval and Delivery Once your application is processed and approved, Mycamine will be shipped directly to your healthcare provider's office within 10 business days. ## Timeline and Delivery - **Processing Time**: Approximately 10 business days from receipt of your completed application - **Delivery Method**: Medication is shipped to your healthcare provider's office (not directly to your home) - **Reapplication**: A new application is required for each request for medication ## What Documents You'll Need Before contacting the program, gather the following: - Valid prescription for Mycamine from your healthcare provider - Proof of income (recent pay stubs, tax returns, or Social Security/disability benefit statements) - Proof of household composition (birth certificates, marriage certificate, or household documentation) - Insurance information (if applicable) - Identification - Proof of residency (utility bill or lease agreement) ## What If Your Application Is Denied? If you are denied assistance through this program, discuss alternative options with your healthcare provider: - **Astellas Pharma Support Solutions**: Contact 1-(800) 477-6472 to explore other access and reimbursement services that may be available - **Hospital Financial Assistance**: Many hospitals have their own financial assistance programs - **Patient Advocacy Organizations**: Organizations focused on fungal infections or transplant support may have additional resources - **Pharmaceutical Manufacturer Programs**: Ask your provider about other Astellas patient support initiatives ## Reauthorization and Refills Because this is a stock replacement program, a new application is required each time you need a refill of Mycamine. You cannot simply request a refill—your healthcare provider must submit a new application with updated financial information if your circumstances have changed. ## Important Disclaimers - This program is subject to change at any time at the manufacturer's discretion - Eligibility is determined by Astellas Pharma US, Inc. based on criteria that may not be fully disclosed - This guide provides general information and does not guarantee program eligibility or approval - Always work with your healthcare provider to navigate this program - If you have questions about your specific situation, contact the program directly at the phone number listed above ## Contact Information **Astellas Stock Replacement Program for Mycamine** Phone: 1-(800) 477-6472 Fax: 1-(866) 317-6235 Mailing Address: Astellas Reimbursement Services P.O. Box 22708 Charlotte, NC 28222-0708 For general questions about Astellas patient support programs, visit AstellasPharmaSupportSolutions.com or call 1-(800) 477-6472.

Program information last verified: March 30, 2026