Nubeqa

Indicated For

non-metastatic castration-resistant prostate cancer (nmCRPC), metastatic hormone-sensitive prostate cancer (mHSPC)

About This Medication

# Bayer US Patient Assistance Foundation Patient Guide: How to Get Nubeqa at Low or No Cost ## About This Program The **Bayer US Patient Assistance Foundation** is a charitable organization designed to help patients who face financial challenges access their Bayer prescription medications at no cost.[3][4] If you have been prescribed Nubeqa (darolutamide) but struggle to afford it, this program may be able to help you get your medication without financial burden. ## About Nubeqa (Darolutamide) Nubeqa is a prescription medication manufactured by Bayer used to treat certain types of prostate cancer. Like many specialty medications, Nubeqa can be expensive, and insurance coverage may be limited or unavailable for some patients. The Bayer US Patient Assistance Foundation exists to ensure that cost is not a barrier to accessing this important medication. ## Who Qualifies for This Program? To be eligible for assistance through the Bayer US Patient Assistance Foundation, you must meet the following requirements:[2] - **Live in the United States or Puerto Rico** - **Meet certain income limits** (specific thresholds vary based on household size and are determined during the application review) - **Either have no insurance, or your Bayer prescription medicine is not covered by your insurance** ### Special Medicare Requirements If you are a **Medicare Part D or Medicare Advantage patient**, additional requirements apply:[1] - If you are eligible for the Medicare Part D Low-Income Subsidy (LIS), also called "Extra Help" (for patients age 65+ with household income under 150% of the federal poverty level), you must provide proof of denial from the LIS program to be considered for Foundation assistance. - The Foundation does not accept patients who apply solely because their commercial insurance or employer-sponsored plan participates in an alternative funding program that requires patients to apply to a manufacturer patient assistance program. ## Income Eligibility While specific income thresholds are not publicly listed, the program uses a **needs-based assessment** to determine eligibility.[5] Income limits are typically based on household size and federal poverty guidelines. During your application, you will be asked to provide detailed information about your household income, which will be evaluated against the program's current eligibility criteria. If you are unsure whether your income qualifies, you can still submit an application—the Foundation will review your financial situation during the application process. ## Insurance Requirements The program is designed for:[5] - **Uninsured patients** (those with no health insurance) - **Underinsured patients** (those whose insurance does not cover Nubeqa or whose out-of-pocket costs are prohibitively high) If you have insurance that covers Nubeqa, you may still be eligible if your coverage is limited or if your out-of-pocket costs are substantial. ## How to Apply: Step-by-Step ### Step 1: Gather Required Information Before starting your application, have the following information ready:[2] - Your full name and contact information - Your household income information - Details about your current insurance (if any) - Your doctor's name and contact information - Your prescription information for Nubeqa ### Step 2: Complete the Patient Information Section Download the **Bayer US Patient Assistance Foundation Application Form** from the program website or request it by phone.[2] You or a caregiver can complete the Patient Information Section (pages 2-5 of the application). This section includes: - Your personal and contact information - Your household income details - Your insurance information - Authorization for the Foundation to share your health information - Optional caregiver information ### Step 3: Have Your Doctor Complete the Healthcare Professional Section Ask your doctor or healthcare professional to complete and sign the **Healthcare Professional Section** (page 6 of the application).[2] Your doctor will need to verify your medical condition and confirm that Nubeqa is medically appropriate for you. ### Step 4: Review the Checklist Before submitting, use the **checklist on page 7** of the application to ensure all required information is included.[2] Your application cannot be reviewed without complete information and signatures from both you and your doctor. ### Step 5: Make a Copy for Your Records Make a copy of your completed and signed application for your personal records before submitting.[2] ### Step 6: Submit Your Application Submit your completed and signed application by **fax or mail**:[1][2] **Fax:** 1-866-575-6568 **Mail:** Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255 ### Step 7: Contact Information If you have questions during the application process, you can call the Foundation at **1-866-228-7723** (1-866-2BUSPAF) or visit the website at **www.patientassistance.bayer.us**.[1] ## Application Timeline and Delivery **Processing Time:** Applications are usually reviewed within **2 business days**.[6] However, processing may take longer if information is missing or incomplete. Once approved, the program typically provides medication at no cost, with the assistance year beginning as soon as you are accepted into the program (or January 1 for Medicare Part D beneficiaries).[7] **Delivery Method:** The specific delivery method for your medication will be communicated to you once your application is approved. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Request clarification** from the Foundation about the reason for denial by calling 1-866-228-7723 2. **Reapply** if your circumstances change (such as a change in income or insurance status) 3. **Explore alternative assistance programs** that Bayer may offer, such as copay assistance programs (if you have commercial insurance) 4. **Contact your healthcare provider** to discuss other treatment options or financial resources 5. **Reach out to patient advocacy organizations** related to your condition for additional financial assistance resources ## Reauthorization and Renewal Assistance through the Bayer US Patient Assistance Foundation is renewable, but **reauthorization is required**.[5] You will need to reapply to continue receiving assistance. The Foundation will provide information about the reapplication process and timeline as your current assistance period approaches its end. ## Important Disclaimer This guide provides general information about the Bayer US Patient Assistance Foundation program. Program eligibility, requirements, and benefits may change. For the most current and accurate information, please contact the Foundation directly at 1-866-228-7723 or visit www.patientassistance.bayer.us. Always consult with your healthcare provider about your treatment options and financial assistance programs.

Program information last verified: March 30, 2026