Noxafil

Indicated For

fungal infections, aspergillosis, candidiasis

About This Medication

# Merck Patient Assistance Program Patient Guide: How to Get Noxafil (posaconazole) at Low or No Cost Noxafil (posaconazole) is an antifungal medication used to prevent and treat serious fungal infections in people with weakened immune systems, such as those undergoing chemotherapy, stem cell transplants, or with conditions like graft-versus-host disease. The **Merck Patient Assistance Program** offers this medication **free of charge** to eligible uninsured patients meeting income guidelines, helping those who can't otherwise afford it.[1][2][9] ## About Noxafil (posaconazole) **Noxafil** belongs to a class of drugs called azole antifungals. It works by stopping the growth of fungi that can cause life-threatening infections, particularly in immunocompromised patients. Available as delayed-release tablets, oral suspension, or intravenous injection, it's often prescribed for prophylaxis or treatment of invasive fungal infections like aspergillosis or candidiasis.[9] Common side effects include nausea, diarrhea, headache, and elevated liver enzymes—always discuss with your doctor. Without insurance, costs can exceed $4,500 per treatment course, making assistance programs essential.[9] ## Who Qualifies? To qualify for the **Merck Patient Assistance Program** for **Noxafil**, you must meet these key criteria: - Reside in the US or US territories (citizenship not required).[3][5] - Have a valid prescription for Noxafil from a US healthcare provider.[3] - Lack prescription drug or health insurance coverage (exceptions for financial hardship).[1][2][4] - Household income at or below **400% of the Federal Poverty Level (FPL)**, with exceptions for documented financial hardship.[program data][2] The program is private, confidential, and provides up to **1 year of free medication** per approved application. You can reapply as needed.[2] ## Income Eligibility Breakdown Eligibility is based on **household income** compared to the **Federal Poverty Level (FPL)**. For 2026, here's a table showing the **400% FPL thresholds** (updates annually; verify current guidelines at merckhelps.com or call 800-727-5400).[program data] | Household Size | Annual Income Limit (400% FPL) | |----------------|-------------------------------| | 1 person | $60,320 | | 2 people | $81,760 | | 3 people | $103,200 | | 4 people | $124,640 | | +1 person | Add $21,440 each | *Notes: Income includes all household members. Exceptions possible for financial hardship—provide proof like medical bills or debt statements. Program may verify via credit report (won't affect your score).[5]* ## Insurance Requirements You must have **no prescription drug or health insurance coverage**. This includes: - No private insurance, Medicaid, or Medicare Part D that covers Noxafil.[4] - No employer plans involved in alternative funding programs that require PAP application as a prerequisite.[2] **Exceptions:** Financial/medical hardship cases may qualify even with limited coverage—attest and provide documentation.[2] Medicare patients are generally ineligible unless coverage doesn't apply and hardship is proven. Patients with plans denying coverage due to alternative funding won't qualify.[2] ## Step-by-Step Application Process The program offers **multiple application methods**: download online, call for help, or get from your doctor.[1][8] 1. **Check Eligibility:** Visit merckhelps.com or call **(800) 727-5400** (8 AM-8 PM ET, Mon-Fri) to confirm Noxafil coverage and your fit.[1][5] 2. **Download Form:** Get the enrollment form from merckhelps.com (under PRODUCTS) or call 800-727-5400.[3][8] 3. **Complete Patient Sections:** Fill Section 1 (personal info, income, household), sign/date Sections 2-3. Attach **required documents**: - Proof of income (pay stubs, tax return). - Proof of residency (utility bill). - Prescription for Noxafil. - Proof of no insurance (benefits summary or denial letter).[program data][5] 4. **Doctor Completes Their Part:** Your prescriber fills Sections 4-5 (diagnosis, prescription details), signs/dates. Separate prescription required for controlled substances.[3][5][7] 5. **Submit:** Mail/fax original form (no copies). Address on form or call for details. Program may request more info.[3][5][8] **Tip:** Use the checklist at merckhelps.com. Designate a clinic staff member to help—paperwork can be detailed but worthwhile.[9] ## Timeline and Delivery - **Processing:** Typically **less than 7 business days** if complete; up to **2 weeks** standard. Urgent needs? Call 800-727-5400.[5][7][8] - **Delivery:** Free medication shipped to **doctor's office or your home**.[program data] - **Duration:** Up to 1 year; **reauthorization required** annually or for refills/new meds—submit new form.[2][program data] Track status at 800-727-5400.[1] ## Alternatives if Denied - **Appeal:** Call 800-727-5400 to discuss hardship exceptions or missing docs.[2] - **Merck Access Program:** For insured patients—co-pay help or coverage questions (855-257-3932).[4] - **Other Options:** GoodRx/SingleCare discounts, generic posaconazole (if available), nonprofit programs via rxassist.org, or switch to oral from IV when possible.[9] - **Reapply:** Fix issues and resubmit.[8] ## Disclaimer This guide is for informational purposes based on program details as of March 2026. Eligibility, forms, and guidelines can change—always verify at merckhelps.com or by calling **(800) 727-5400**. Not medical/financial advice; consult your doctor and advisor. Merck reserves audit rights and may request verification.[2][3][5] Word count: 1028.

Program information last verified: March 30, 2026