PALFORZIA

Indicated For

peanut allergy

About This Medication

# PALFORZIA Pathway Patient Assistance Program Guide: How to Get PALFORZIA at Low or No Cost PALFORZIA (Peanut (Arachis hypogaea) Allergen Powder-dnfp) is an FDA-approved oral immunotherapy treatment for peanut allergy in children aged 4 to 17 years, available only through a restricted Risk Evaluation and Mitigation Strategy (REMS) program due to the risk of anaphylaxis.[1][3][7] The **PALFORZIA Pathway Patient Assistance Program (PAP)**, offered by manufacturer **STALLergenes Greer**, provides the medication **at no cost** to eligible uninsured or underinsured patients who meet specific financial and insurance criteria.[1][4][9] ## About PALFORZIA PALFORZIA is a powdered form of peanut allergen taken daily by mouth to desensitize the immune system, reducing the risk of severe allergic reactions from accidental peanut exposure. It starts with a low dose under medical supervision and gradually increases (up-dosing) over time. **This is not a cure**—patients must still avoid peanuts and carry epinephrine. Treatment requires enrollment in the PALFORZIA REMS program, where prescribers confirm understanding of risks like anaphylaxis.[3][7] Your allergy specialist must prescribe it and send it through the PALFORZIA Pathway support hub.[1][5] ## Who Qualifies for the Patient Assistance Program? The PAP targets patients with **no insurance** or **insurance that does not cover PALFORZIA**, combined with **financial need** based on specific (undisclosed) criteria—likely low income, as it's a needs-based program.[1][4][9] Commercial insurance holders may qualify for the separate **PALFORZIA Pathway Co-Pay Savings Program** (as low as $20/month, up to $6,200 annual benefit), but PAP users are ineligible for co-pay help.[1][2][6] **Key exclusions for PAP:** Government programs like Medicare, Medicaid, TRICARE, or VA; those eligible for co-pay program.[4][6][8] All patient referrals go through the **PALFORZIA Pathway Hub**—no direct specialty pharmacy submissions.[4][5] ## Income Eligibility Breakdown Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed; eligibility is determined case-by-case via the hub after reviewing financial info.[1][4] Contact 1-844-PALFORZ for personalized assessment. Here's a general overview based on similar programs: | Household Size | Estimated Max Income (300% FPL example)* | Notes | |---------------|-----------------------------------------|-------| | Individual | ~$45,000/year | *Illustrative; call for exact criteria[1][4] | | Couple | ~$61,000/year | Financial hardship proof required | | Family of 3 | ~$77,000/year | Needs-based review by hub | | Family of 4 | ~$93,000/year | Subject to change; terms apply | *Hypothetical based on standard PAP structures—**verify with 1-844-PALFORZ (option 2)** as exact limits undisclosed.[4] ## Insurance Requirements - **Uninsured or underinsured:** Primary qualifiers for free PALFORZIA via PAP.[1][4][9] - **Commercial insurance:** Use co-pay card at PalforziaCopay.com (excludes government plans).[2][6] - **Medicare/Medicaid:** Ineligible for PAP or co-pay program; explore state programs or GoodRx discounts.[6][10] The hub verifies coverage, handles prior authorizations, and routes to specialty pharmacy (e.g., Walgreens).[1][5] ## Step-by-Step Application Process 1. **Get Prescribed:** Ask your child's allergy specialist to prescribe PALFORZIA and enroll in REMS. They complete the **Prescription and Enrollment Form**.[1][8] 2. **Hub Referral:** Doctor sends prescription to **PALFORZIA Pathway Hub** (1-844-PALFORZ). Hub checks insurance and PAP eligibility.[1][4][5] 3. **Submit PAP Request:** If uninsured/underinsured, hub reviews finances. Fax **Enrollment Form** to 1-844-708-0011. Provide proof of income/residency (e.g., tax returns, pay stubs—call for list).[4][8] 4. **Approval Notification:** Hub confirms eligibility; specialty pharmacy contacts you (toll-free call) for shipping details and any co-pay (none for PAP).[1] 5. **Receive Shipment:** Drug ships to your address. Start treatment per doctor's plan.[1] **Phone Support:** 1-844-PALFORZ (1-844-725-3679), 8am-8pm ET. Option 2 for PAP.[4] ## Timeline and Delivery - **Processing:** Hub reviews in days; prior auth may add 1-2 weeks.[1][5] - **Delivery:** Specialty pharmacy ships directly post-confirmation (1-844-PALFORZ for status).[1] - **Refills:** Ongoing via hub; reauthorization likely periodic (call to confirm).[5] Ship to doctor's office or home; keep epinephrine ready.[7] ## Alternatives if Denied - **Co-Pay Program:** If commercially insured (PalforziaCopay.com).[2] - **GoodRx Discounts:** Up to 90-day supplies; show coupon at pharmacy.[10] - **State Programs:** Check Dept. of Aging for seniors; PACE for dual-eligible.[10] - **Generic/Biosimilars:** None available.[ ] - **Appeal:** Contact hub; resubmit docs.[4] ## Important Disclaimer This guide summarizes info from official sources as of 2026 but **not official advice**. Eligibility/terms change—**always call 1-844-PALFORZ** for latest. PALFORZIA carries serious risks; only use under doctor supervision. Not for government-insured. Terms apply.[1][4][6] (Word count: 942)

Program information last verified: March 30, 2026