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Naglazyme

Generic: galsulfase

Manufacturer: BioMarin  ·  Program: BioMarin RareConnections

Apply for assistance

Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

Commercial prescription insurance; not for government-funded programs

Residency

US resident; restrictions in certain states (MA, RI, MI, MN)

Guidelines not disclosed; co-pay assistance for eligible commercially insured patients

Program Information

Processing Time

2–4 weeks

Delivery Method

Hospital, Doctor's office or Pharmacy

Application Method

Phone

Reauthorization

Required, annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of income
  • Insurance information
  • Prescription
  • Doctor-completed application

Indicated for

MPS VI, Mucopolysaccharidosis VI

About This Medication

BioMarin RareConnections Patient Guide: How to Get Naglazyme at Low or No Cost

Naglazyme (galsulfase) is an enzyme replacement therapy for patients with Mucopolysaccharidosis VI (MPS VI; Maroteaux-Lamy syndrome), a rare genetic disorder that affects the body's ability to break down certain substances, leading to buildup that can cause skeletal abnormalities, joint stiffness, heart and lung problems, and reduced endurance[1][6][7]. BioMarin RareConnections is the patient assistance program from BioMarin that helps eligible patients access Naglazyme through support with billing, insurance navigation, infusion center coordination, and financial aid like co-pay assistance[1][2][4].

About Naglazyme and MPS VI

MPS VI is a lysosomal storage disorder where the enzyme N-acetylgalactosamine 4-sulfatase is deficient, causing glycosaminoglycans (GAGs) to accumulate in tissues and organs[6][7]. This leads to symptoms like short stature, coarse facial features, hearing loss, corneal clouding, and progressive mobility issues. Naglazyme provides the missing enzyme intravenously once weekly, improving walking and stair-climbing capacity, endurance, pulmonary function, and reducing urinary GAG levels with consistent use[5][6][7].

Important Safety Note: Naglazyme carries a black box warning for hypersensitivity reactions, including anaphylaxis, which can occur during or up to 24 hours after infusion. Start treatment in a healthcare setting with monitoring and resuscitation equipment available. Common side effects include rash, pain, hives, headache, fever, and itching[3][5][7]. Always discuss risks with your doctor.

The recommended dose is 1 mg/kg body weight weekly, infused over at least 4 hours. It can be given at an infusion center, doctor's office, hospital, pharmacy, or even at home after coordination[1][3][8]. Home infusions involve receiving vials from a specialty pharmacy, storing them refrigerated, and having a nurse administer[3].

Who Qualifies for BioMarin RareConnections?

This program supports patients with a valid Naglazyme prescription facing access barriers. It offers personalized case management for coverage, financial needs, education, and infusion logistics[2][4]. Key eligibility focuses on commercially insured patients needing co-pay assistance; specific income guidelines are not publicly disclosed[program details]. It's not for government-funded insurance like Medicare or Medicaid[program details].

Income Eligibility Breakdown

Since exact Federal Poverty Level (FPL) thresholds are not disclosed, eligibility is determined case-by-case. Contact the program for personalized assessment.

Household SizeIncome ThresholdFPL %Notes
IndividualNot disclosedN/ACase-by-case review; proof of income required[program details]
CoupleNot disclosedN/ACo-pay help for commercial insurance[program details]
Family of 3Not disclosedN/AFinancial need evaluated individually
Family of 4Not disclosedN/AGuidelines not public

Insurance Requirements

You must have commercial prescription insurance (private plans, not government programs like Medicare, Medicaid, VA, or Tricare)[program details][2][4]. The program helps with prior authorizations, appeals, and billing to streamline coverage[1][2]. Uninsured or underinsured patients may qualify for additional support—call to confirm[4].

Step-by-Step Application Process

  1. Get a Prescription: Discuss Naglazyme with your doctor if you have MPS VI. They confirm diagnosis and prescribe[1][6].

  2. Contact BioMarin RareConnections: Call (866) 906-6100 to start enrollment. A case manager guides you[1][3][program details].

  3. Complete Forms: Sign the Patient Consent Form (PCF) online or via phone. Your doctor submits the Patient Enrollment Form (PEF)[2][4][10].

  4. Submit Documents: Provide proof of income, insurance information, prescription, and doctor-completed application[program details].

  5. Approval and Coordination: Case manager helps find an infusion center (or home setup), handles insurance, and ensures delivery[1][3].

  6. Start Treatment: Attend first infusion in a monitored setting. Weekly infusions follow[5][8].

Applications are handled by phone; no online portal listed[program details]. Reauthorization is required periodically to continue benefits[program details][5].

Timeline and Delivery

Processing time varies; expect case manager contact soon after calling. Infusion setup depends on insurance approval—could take days to weeks[1][2]. Naglazyme arrives at your hospital, doctor's office, pharmacy, or home via specialty pharmacy[3][program details]. For home: Refrigerate vials (discard if damaged or unrefrigerated >24 hours), apply numbing cream if prescribed, stay hydrated[3]. Infusion takes ~4 hours; monitor for reactions[8].

If Denied or Alternatives

If denied, your case manager assists with appeals or alternative funding options[2][4]. No biosimilar alternatives exist for Naglazyme[program details]. Explore independent foundations, state programs, or clinical trials via your doctor. Lifelong weekly therapy is key for benefits—discuss interruptions with your physician[5].

Disclaimer

This guide is for informational purposes based on available program details as of general knowledge. Eligibility, benefits, and processes can change; always verify with BioMarin RareConnections at (866) 906-6100 or your healthcare provider. Not medical advice—consult professionals for treatment decisions. BioMarin does not guarantee coverage or assistance[1][2][program details]. (Word count: 1028)

Program information last verified: March 30, 2026

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