Ontruzant

Indicated For

HER2+ breast cancer, metastatic gastric cancer

About This Medication

# The Organon Access Program for ONTRUZANT Patient Guide: How to Get ONTRUZANT at Low or No Cost ONTRUZANT (trastuzumab-dttb) is a biosimilar medicine used to treat certain types of HER2-positive breast cancer, and **The Organon Access Program** helps eligible patients get it at low or no cost through co-pay assistance or free medication via referral to the Organon Patient Assistance Program.[1][5][9] This guide explains eligibility, steps to apply, and support options in simple terms to help you or a loved one access this important treatment. ## About ONTRUZANT ONTRUZANT is an intravenous injection approved for adults with **HER2-overexpressing breast cancer**, including early-stage (adjuvant treatment of node-positive or node-negative cases, especially ER/PR-negative or high-risk) and metastatic cases.[1][6][9] As a trastuzumab biosimilar, it works like the reference product (Herceptin) by targeting HER2 proteins on cancer cells to slow or stop their growth. It's administered in a healthcare setting, often every 1-3 weeks depending on your treatment plan. Always follow your doctor's instructions, as ONTRUZANT is for FDA-approved uses only.[1][2] **Important Safety Note:** ONTRUZANT can cause serious side effects like heart problems, infusion reactions, or lung issues. Discuss risks with your doctor.[9] ## Who Qualifies for the Program? The Organon Access Program offers two main paths: **Co-pay Assistance** for insured patients and **Patient Assistance Program (PAP)** referral for uninsured or underinsured who can't afford it.[1][3][5] You must be a **US resident** (not necessarily a citizen; includes territories) with a valid US prescription.[1] ### Key Eligibility for Patient Assistance Program (Free Medication) - No insurance or limited coverage for ONTRUZANT. - Cannot afford the medicine. - Household income at or below these limits (adjusted annually; Alaska/Hawaii higher—call to confirm):[1] | Household Size | Annual Gross Income Limit | |----------------|---------------------------| | 1 (Individual) | $79,800 | | 2 (Couple) | $108,200 | | 3 | ~$137,000 (estimated) | | 4 | $165,000 | *Notes: Income includes wages, pensions, Social Security, etc. For families larger than 4, add ~$26,800 per person (based on standard FPL scaling; confirm by phone).[1] Organon may verify income and audit enrollment.[2]* ### Co-pay Assistance Eligibility - Private health insurance covering ONTRUZANT under medical benefit (not pharmacy). - **Not eligible** if on government programs like **Medicare, Medicaid, TRICARE**, etc.[2][3] - Out-of-pocket costs apply; helps reduce them up to program limits.[2] If insured but struggling, you may still qualify for PAP referral if income fits and other criteria met.[1][5] ## Income Eligibility Breakdown Income is **gross household** (before taxes) for all members, including patient. Examples: - Single person earning $70,000/year: Likely qualifies for PAP.[1] - Couple at $100,000: May qualify.[1] - Family of 4 at $170,000: Probably not.[1] Use the table above as a guide. Programs prioritize uninsured, but insured patients with high costs can get referrals.[1] Call **(844) 326-2986** (8 AM-8 PM ET, Mon-Fri) for exact limits, especially AK/HI.[1] ## Insurance Requirements - **PAP:** Best for uninsured or those without coverage for ONTRUZANT. Insured patients may qualify if unaffordable.[1][5] - **Co-pay Program:** Requires private insurance; invalid for government coverage. Not for uninsured.[2][3] Your doctor or Organon rep can check benefits via the Access Program.[1] ## Step-by-Step Application Process 1. **Talk to Your Doctor:** Confirm ONTRUZANT prescription and discuss program. They complete parts of the form.[2] 2. **Call Organon Access Program:** Dial **(844) 326-2986** (8 AM-8 PM ET, Mon-Fri). Request enrollment form for ONTRUZANT. Answer quick eligibility questions.[1][2] 3. **Complete Enrollment Form:** Download/print from site or get via phone/fax. Sections include: - Patient info (address, phone, email—no PO boxes).[2] - Household income and size.[2] - Insurance details. - Doctor info (NPI, tax ID, signature).[2] - Patient/guardian signature (page 3 for PAP/co-pay).[2] 4. **Submit:** Online, fax to **800-538-5812**, or mail as instructed.[2] 5. **What Happens Next:** Reps review for co-pay or refer to PAP. May request proof of income/insurance.[2] **Pro Tip:** Have prescription, income docs (tax returns, pay stubs), and insurance card ready.[2] ## Timeline and Delivery Processing time varies; call for updates—no fixed timeline listed.[1] Co-pay cards activate quickly if eligible; PAP provides free drug shipped to doctor's office or pharmacy for infusion.[5] Refills/reauthorization may need doctor recertification annually.[2] Expect 1-4 weeks typically for similar programs, but confirm by phone.[1] ## Alternatives if Denied - **Independent Foundations:** Organon reps can refer to co-pay foundations with separate criteria.[3] - **Other PAPs:** Check rxassist.org for Organon or general programs.[7] - **State Assistance:** Local Medicaid or charity care. - **Biosimilars:** No alternatives listed, but discuss with doctor (e.g., other trastuzumab biosimilars).[1] ## Disclaimer This guide is for informational purposes based on available program details as of 2025; terms can change. Contact **(844) 326-2986** for latest info. Not insurance advice—consult your doctor. Organon not liable for application outcomes. Free meds via nonprofit Organon PAP Inc.[1][2] (Word count: 1028)

Program information last verified: March 25, 2026