Plegridy
Generic: peginterferon beta-1a
Manufacturer: Biogen · Program: Biogen Support Services
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured, underinsured, or commercially insured with no coverage; Medicare patients may qualify for the Biogen Free Drug Program if they meet specific financial and clinical criteria.
Residency
U.S. resident or legal resident of Puerto Rico
Income Threshold
Up to 400% FPL
Individual Income Limit
$60,240/year
Calculated based on 400% of the 2025 FPL; Biogen considers individual financial circumstances for eligibility.
Program Information
Processing Time
1-2 business days
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income (e.g., tax return, W-2, or pay stubs)
- Completed Enrollment Form
- Prescription signed by provider
- Patient signature and HIPAA authorization
Indicated For
Relapsing forms of multiple sclerosis (RMS), Clinically isolated syndrome, Relapsing-remitting disease, Active secondary progressive disease
About This Medication
# Getting Plegridy at No Cost or Reduced Cost Through Biogen Support Services ## Who Qualifies for Biogen Support Services? If you need Plegridy (peginterferon beta-1a) and cannot afford it, you may be able to get it free or at a significantly reduced cost through the **Biogen Support Services** patient assistance program. For a single-person household, your annual income must generally be at or below **$60,240** to qualify. In terms of insurance, this program is designed for patients who are uninsured, underinsured, or have commercial insurance that does not cover Plegridy. Medicare patients may also qualify under a separate Biogen Free Drug Program if they meet specific financial and clinical criteria. Biogen reviews each application individually, so even if your situation is complicated, it is worth applying. --- ## About Plegridy (peginterferon beta-1a) Plegridy is an FDA-approved prescription medication used to treat relapsing forms of multiple sclerosis (MS). This includes clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. It belongs to a class of drugs called interferon beta-1a immunomodulators and is administered by injection. Without insurance coverage or financial assistance, Plegridy can cost thousands of dollars per month, placing it out of reach for many patients. Because there are currently no FDA-approved biosimilar versions of Plegridy available, patients do not have a lower-cost generic option, making manufacturer assistance programs like Biogen Support Services especially important. --- ## Income Eligibility: Full Breakdown Biogen uses household size and annual income to determine whether you qualify. The income limits below are based on 400% of the 2025 Federal Poverty Level (FPL): | Household Size | Maximum Annual Income | |---|---| | 1 person | $60,240 | | 2 persons | $81,760 | | 3 persons | $103,280 | | 4 persons | $124,800 | To verify your income, Biogen typically asks for your most recent federal tax return, your last three months of pay stubs, or a W-2 form. If you are self-employed or have irregular income, you may be asked for alternative documentation. If your income is above these limits, you are not automatically disqualified. Biogen states that it considers individual financial circumstances when reviewing applications. Out-of-pocket medical expenses, large household costs, or other financial hardships may be taken into account. It is still worth submitting an application and speaking with a Biogen Support Services representative at **(800) 456-2255** to discuss your specific situation. --- ## Insurance Requirements Explained Your insurance situation plays a key role in determining which type of assistance you can receive: - **If you are uninsured:** You may qualify for free Plegridy through the Biogen Support Services patient assistance program, provided you meet the income requirements. - **If you have Medicare Part D:** Most standard patient assistance programs do not cover Medicare beneficiaries due to federal regulations. However, Biogen offers a separate **Biogen Free Drug Program** for Medicare patients who meet specific financial and clinical criteria. Call **(800) 456-2255** to find out if you qualify. - **If you have private insurance that covers Plegridy poorly or not at all:** You may qualify for the patient assistance program if your coverage leaves you with costs you cannot manage. Biogen reviews these situations case by case. - **If you have Medicaid:** Patients enrolled in Medicaid are generally not eligible for manufacturer patient assistance programs. If Medicaid does not cover Plegridy in your state, a Biogen representative may be able to point you toward other options. --- ## Step-by-Step: How to Apply Follow these steps to apply for Biogen Support Services for Plegridy: 1. **Gather your documents.** Before you start, collect the following: proof of income (prior year tax return, W-2, or three months of pay stubs), a completed Enrollment Form, a prescription signed by your prescribing provider, your signed patient authorization, and your HIPAA authorization form. 2. **Choose your application method.** You have several options: - **Apply online** by visiting [https://www.plegridy.com/en_us/home/support/financial-assistance.html](https://www.plegridy.com/en_us/home/support/financial-assistance.html) - **Call** Biogen Support Services at **(800) 456-2255** to apply by phone or get help with the process - **Fax** your completed application and documents to **(800) 843-6274** 3. **Complete the Enrollment Form.** This form requires information about you, your household size, your income, your insurance status, and your prescribing provider. Your provider will need to sign the prescription section. 4. **Submit all required documents together.** Incomplete applications take longer to process. Make sure your provider's signature is included on the prescription before submitting. 5. **Wait for a decision.** Biogen typically processes applications within **1 to 2 business days**. 6. **Receive confirmation.** Once approved, you will be notified about your enrollment status and next steps for receiving your medication. --- ## What to Expect: Timeline and Delivery After you submit a complete application, Biogen Support Services typically makes a decision within **1 to 2 business days**. Once you are approved, Plegridy is **shipped directly to your home** — you do not need to pick it up at a pharmacy or your doctor's office. Make sure someone is available to receive the shipment, as temperature-sensitive medications may require a signature. Your enrollment in the program is not permanent. **Annual reauthorization is required**, meaning you will need to reapply each year to continue receiving assistance. Biogen will typically contact you before your enrollment expires. Keep your income documents updated so the renewal process goes smoothly. --- ## Alternatives If You Don't Qualify If you do not meet the eligibility criteria for the Biogen Support Services program, here are other options to explore: 1. **Biosimilars:** There are currently **no FDA-approved biosimilar versions** of Plegridy available in the United States, so this is not an option at this time. 2. **Manufacturer savings card:** If you have commercial insurance, Biogen offers a **Plegridy Co-Pay Program** that may reduce your out-of-pocket costs. You can learn more and enroll at [https://www.plegridy.com/en_us/home/support/copay-program.html](https://www.plegridy.com/en_us/home/support/copay-program.html). This program is not available to Medicare or Medicaid patients. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states run their own programs to help residents afford prescription drugs. Eligibility and benefits vary by state. Contact your state's health department or aging services office to ask about available programs. 4. **NeedyMeds.org:** This free, nonprofit database at [www.needymeds.org](https://www.needymeds.org) allows you to search for patient assistance programs, drug discount cards, and other resources by medication name or condition. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Biogen. Program terms may change — verify current requirements at [https://www.biogenpatientassistance.com](https://www.biogenpatientassistance.com) before applying.* ---
Program information last verified: February 27, 2026
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