Mycapssa

Indicated For

acromegaly

About This Medication

# Chiesi Total Care Patient Guide: How to Get Mycapssa (octreotide) at Low or No Cost Mycapssa (octreotide) is an oral medication for long-term maintenance treatment of acromegaly in patients who have responded to and tolerated initial treatments like octreotide or lanreotide injections. The **Chiesi Total Care** program by **Chiesi USA** helps eligible patients with commercial insurance access Mycapssa at **as little as $0 out-of-pocket** through copay assistance and support services.[1][2][3] ## About Mycapssa (octreotide) **Mycapssa** is the only FDA-approved **oral form of octreotide**, a somatostatin analog taken as delayed-release capsules twice daily on an empty stomach. It's indicated for **acromegaly maintenance therapy** after successful injectable therapy with octreotide or lanreotide. Unlike monthly injections, Mycapssa offers convenient oral dosing, helping maintain normal IGF-1 and growth hormone levels in most responsive patients. Common side effects include diarrhea, nausea, and joint pain, with a safety profile similar to injectable octreotide but without injection-site reactions.[2][4][5][10] Acromegaly is a rare condition caused by excess growth hormone, often leading to enlarged hands, feet, facial changes, and other symptoms. If you've tolerated injections, switching to Mycapssa can simplify treatment. Always consult your doctor to confirm suitability.[2][4] ## Who Qualifies for Chiesi Total Care? This program targets **commercially insured patients** in the US or its territories with a valid prescription for an FDA-approved use (acromegaly maintenance). Key requirements: - Enrollment in **Chiesi Total Care** via consent form. - **Commercial insurance** (not government plans like Medicare or Medicaid). - US residency. **No income limits** apply, making it accessible regardless of earnings. It's a **copay program** reducing costs to **$0** for eligible fills.[1][3][6][8] ## Income Eligibility Breakdown Chiesi Total Care has **no specific income thresholds** or FPL (Federal Poverty Level) requirements. It's designed for commercially insured patients facing high copays, not low-income uninsured individuals. | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None | Commercial insurance required; copay assistance up to $0.[3] | | Couple | None | No FPL limit specified.[1] | | Family of 3 | None | Focus on insurance coverage, not income.[6] | | Family of 4 | None | Program terms exclude government insurance.[8] | This table reflects the program's structure: eligibility hinges on insurance type, not finances.[1][3] ## Insurance Requirements **Commercial insurance is mandatory**. Government plans (e.g., Medicare, Medicaid) are ineligible for the copay program. Your plan must cover Mycapssa for an FDA-approved indication. Chiesi Total Care assists with prior authorizations, appeals, and confirming coverage via specialty pharmacy partners like PANTHERx Rare or AcariaHealth.[1][2][6][7][8] If uninsured or underinsured, explore other options (see Alternatives below). Verify coverage by calling (833) 346-2277.[1] ## Step-by-Step Application Process 1. **Consult Your Doctor**: Discuss Mycapssa eligibility based on your acromegaly treatment history. Obtain a **valid prescription** specifying strength (e.g., NDC 69880-120-28).[4][7] 2. **Enroll in Chiesi Total Care**: Visit [mycapssa.com/patients/get-started](https://www.mycapssa.com/patients/get-started) or call **(833) 346-2277**. Complete the **enrollment consent form** online or by mail.[1][2][3] 3. **Submit Documents**: Provide: - Valid prescription. - Proof of commercial insurance. - Signed enrollment consent form.[1][3][7] 4. **Specialty Pharmacy Coordination**: Post-enrollment, a pharmacy like AcariaHealth calls to verify details and handle insurance. Medication ships monthly to your home.[2][4][5] 5. **Activate Copay Card**: Eligible patients get a copay card for **$0** fills at participating pharmacies. Terms apply; see full details.[3][6] Applications can be submitted via website, phone, or fax. Multiple methods available.[1][7] ## Timeline and Delivery Processing time varies but expect a call from the specialty pharmacy soon after prescription submission for quick setup. Medication is **shipped monthly** directly to your home or designated spot via partners like PANTHERx Rare Pharmacy. Patient Education Liaisons (PELs) provide ongoing support.[2][4][5] For urgent needs, doctors can request up to 2 months free supply via Amryt Assist until coverage confirms.[7] ## Alternatives if Denied or Ineligible - **Government Insurance**: Medicare patients may face coverage; check GoodRx for copay details, but Chiesi program excludes them.[6][10] - **Uninsured/Low-Income**: Contact general patient assistance via Acromegaly Community or Biologics by McKesson (800-850-4306).[8] - **Other Therapies**: Somavert (pegvisomant) injections or continued lanreotide/octreotide if Mycapssa unsuitable. No biosimilars listed.[4][5] - **Appeals**: Chiesi helps with insurance appeals.[8] - **Competitor Programs**: Explore Orsini Specialty Pharmacy (847-239-5680).[8] Discuss with your doctor; costs without assistance can exceed $3,000/month.[8] ## Important Disclaimer This guide summarizes publicly available info as of latest data. Eligibility, terms, and benefits can change; always review full Terms & Conditions. Not a substitute for medical/professional advice. Chiesi USA reserves rights to modify/terminate program. Costs without insurance are high; consult healthcare provider. See full Prescribing Information and Medication Guide.[1][2][3]

Program information last verified: March 30, 2026