Pombiliti

Indicated For

Late-onset Pompe disease (LOPD)

About This Medication

# Amicus Assist Guide: Getting Pombiliti at Low Cost ## What is Amicus Assist? Amicus Assist is a prescription assistance program designed to help patients access Pombiliti (cipaglucosidase alfa-atga) at reduced or no cost. If you have been prescribed Pombiliti to treat late-onset Pompe disease (LOPD) and need help affording your medication, this program may be right for you. ## Who Can Apply? Amicus Assist welcomes applications from patients with the following insurance status: - **Commercially insured patients** with high out-of-pocket costs - **Medicare beneficiaries** who need copay or coinsurance assistance - **Medicaid recipients** who face coverage gaps or restrictions - **Underinsured patients** with inadequate coverage - **Uninsured patients** with no health insurance at all Income limits vary based on your household size and are determined individually. During your application, you'll discuss your specific financial situation with a program representative to determine your eligibility. ## What You'll Need to Apply To start the process, have the following information ready: 1. **Patient Referral Form (PRF)** - Your doctor must complete and sign this form, confirming your Pombiliti prescription and medical need 2. **Proof of income** - Recent pay stubs, tax returns, or documentation of benefits 3. **Insurance information** - Details about your current health insurance (if applicable) 4. **Prescription details** - Your doctor's written Pombiliti prescription Your healthcare provider's office can help obtain the PRF. Let them know you're applying for assistance through Amicus Assist. ## How to Apply Amicus Assist makes the application process simple and straightforward: **Step 1: Call the Program** Contact Amicus Assist at **1-833-264-2872**. A patient advocate will answer your questions and confirm you meet basic eligibility requirements. **Step 2: Complete Your Application** The patient advocate will guide you through submitting the Patient Referral Form and your financial documentation. You can provide information over the phone or submit documents by mail or online. **Step 3: Review and Verification** Amicus Assist reviews your application and verifies your insurance status and income eligibility. This process typically takes 5-10 business days. **Step 4: Receive Your Benefits** Once approved, you'll learn about your savings level—which could mean $0 copay, a reduced copay, or full medication coverage. You may also receive a savings card to use at your pharmacy. ## Application Timeline Most patients receive a decision within **2-3 weeks** of submitting a complete application. Some expedited cases are approved in as little as 5-7 business days. While waiting, continue working with your doctor and pharmacy to ensure your prescription is ready to fill once your assistance is approved. ## Insurance Coverage Details **Do I Need Insurance to Apply?** No. The program helps commercially insured, Medicare, Medicaid, underinsured, and uninsured patients. Your insurance status does not disqualify you. **What About My Copay or Coinsurance?** If you have insurance, Amicus Assist may cover your copay, coinsurance, or deductible amounts. The program works alongside your insurance to maximize your savings. **Medicare and Medicaid Patients** Both are eligible. Amicus Assist helps bridge coverage gaps and assists with out-of-pocket costs. ## Savings Card Option If approved, you may receive a **savings card** that you present at your pharmacy when filling your Pombiliti prescription. The card shows your approved benefit level and may reduce your out-of-pocket cost to $0, a small copay, or a reduced amount—depending on your eligibility. ## What About Refills? Once approved, **no reauthorization is required**. Your assistance continues as long as you remain on Pombiliti and your circumstances don't significantly change. Simply continue using your savings card or approved benefit for each refill. ## Getting Started Today Don't let cost prevent you from accessing the treatment you need. Contact Amicus Assist today: **Phone: 1-833-264-2872** **Online: https://pombilitiopfolda.com/support-and-tools/** A patient advocate is ready to answer your questions and help you apply. The call is free and confidential.

Program information last verified: March 25, 2026