Odomzo

Indicated For

basal cell carcinoma, locally advanced basal cell carcinoma

About This Medication

# ODOMZO Patient Assistance Program: How to Get Sonidegib at Low or No Cost ## About This Program The **ODOMZO Patient Assistance Program (PAP)**, offered by Sun Pharma, helps eligible patients access sonidegib (ODOMZO) at reduced or no cost. ODOMZO is used to treat locally advanced basal cell carcinoma (laBCC) in adults whose cancer has returned after surgery or radiation therapy, or who cannot undergo these treatments.[1][2] If you're struggling to afford your ODOMZO prescription, this program may help you get the medication you need without financial hardship. ## Who Qualifies for This Program? You may be eligible for the ODOMZO Patient Assistance Program if you meet these criteria: - **Insurance Status:** You are underinsured or uninsured[1][2] - **Age:** You are 18 years or older[5] - **Residency:** You are a resident of the United States, Puerto Rico, Guam, or the Virgin Islands[3] - **Financial Need:** Your household income qualifies based on Sun Pharma's needs-based assessment[5] - **Valid Prescription:** You have a current prescription for ODOMZO from your healthcare provider[3] ### Who Does NOT Qualify You are **not eligible** for this program if you have:[3] - Medicaid coverage (including Medicaid Managed Care Plans) - Medicare or Medicare Part D coverage - Medicare Advantage plans - TRICARE or CHAMPUS coverage - Puerto Rico Government Health Insurance Plan - Any other state or federal medical or pharmaceutical benefit program - Health plans that eliminate your out-of-pocket costs **Important:** If you have Medicare Part D and cannot afford your medication, you may qualify for the CMS Low Income Subsidy (LIS) or Extra Help Program instead.[3] ## Income Eligibility The ODOMZO Patient Assistance Program uses a **needs-based approach** rather than strict income cutoffs. This means Sun Pharma evaluates your individual financial situation to determine eligibility. To demonstrate financial need, you must provide: - Recent proof of household income (such as tax returns, pay stubs, or benefit statements) - Information about your household size and expenses While specific income thresholds are not publicly listed, the program is designed to help patients who genuinely cannot afford their medication. Your healthcare provider and the program support team can help you understand whether you likely qualify based on your circumstances. ## Insurance Requirements This program is specifically designed for patients who are: - **Uninsured:** You have no health insurance coverage - **Underinsured:** You have health insurance but face high out-of-pocket costs (co-pays, co-insurance, or deductibles) that make ODOMZO unaffordable If you have commercial health insurance and can afford the medication with a co-pay, you may instead qualify for the **ODOMZO Co-Pay Program**, which can reduce your monthly cost to as little as $10.[3] ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following:[5] - Your completed ODOMZO Care Enrollment Form (signed by both you and your prescriber) - A copy of your current ODOMZO prescription - Proof of your household income (tax returns, pay stubs, benefit statements, or other documentation) - Authorization or denial letter from your insurance company (if applicable) - Copy of your insurance card (front and back) or documentation of uninsured status - Your prescriber's signature on the enrollment form ### Step 2: Complete the Enrollment Form Work with your healthcare provider to complete the official ODOMZO Care Enrollment Form. This form requires:[6] - Your personal information (name, date of birth, sex) - Your insurance information - Your diagnosis and clinical information - Your prescriber's information and signature - Prescription details (dose, quantity, refills) Your prescriber must verify that all insurance prior authorization requirements have been met before submitting your application.[7] ### Step 3: Submit Your Application Once your form is complete with all required signatures and documents, submit it by fax to:[5] **Fax: 1-877-872-6575** Include all supporting documentation with your faxed application. ### Step 4: Follow Up After submitting your application, you can contact the ODOMZO Support team for updates:[5] **Phone: 1-844-ODOMZO (1-844-563-6696)** **Hours:** Monday–Friday, 8 AM–8 PM EST ## Timeline and Medication Delivery While specific processing times are not publicly listed, Sun Pharma processes applications through their specialty pharmacy network. Once approved, your medication will be shipped directly to you or your healthcare provider.[7] For the most current information about processing times, contact the support team at the phone number above. ## What Happens If Your Application Is Denied? If your application is denied, you have options: 1. **Ask why:** Contact the support team to understand the specific reason for denial 2. **Reapply:** If your circumstances have changed, you may reapply with updated financial documentation 3. **Explore alternatives:** Ask your healthcare provider about other financial assistance programs or whether you qualify for state-based pharmaceutical assistance programs 4. **Check other programs:** If you have Medicare, explore the CMS Low Income Subsidy or Extra Help Program ## Reauthorization and Refills Your assistance through this program requires **reauthorization**.[5] This means you will need to reapply periodically to continue receiving assistance. Your healthcare provider and the support team will notify you when reauthorization is needed. To maintain continuous access to your medication: - Keep your contact information current with the program - Respond promptly to any requests for updated financial documentation - Contact the support team if your financial situation changes ## Important Reminders - This program is **needs-based**, meaning your financial situation is the primary factor in eligibility determination - You must have a valid prescription from your healthcare provider - Your prescriber must attempt to obtain all available insurance authorizations before you apply for patient assistance - If you become eligible for Medicare or other government programs, you must notify Sun Pharma, as you may no longer qualify for this program ## Contact Information **ODOMZO Patient Assistance Program** - **Phone:** 1-844-ODOMZO (1-844-563-6696) - **Hours:** Monday–Friday, 8 AM–8 PM EST - **Fax:** 1-877-872-6575 - **Eligibility:** Underinsured or uninsured patients in the US, Puerto Rico, Guam, or Virgin Islands ## Disclaimer This guide provides general information about the ODOMZO Patient Assistance Program based on publicly available information. Program details, eligibility requirements, and processes may change. For the most current and accurate information, contact Sun Pharma directly using the contact information above. This guide is not a guarantee of program eligibility or approval. Always consult with your healthcare provider about your treatment options and financial assistance programs.

Program information last verified: March 30, 2026