Preotact

Indicated For

osteoporosis

About This Medication

# Preotact Patient Assistance Guide: How to Get Preotact at Low or No Cost Preotact (parathyroid hormone) is a prescription medication used to treat osteoporosis in postmenopausal women at high risk of fractures, but specific patient assistance programs from its manufacturer, NPS Pharma Holdings Limited, are not currently identified or available, as the product is no longer authorized in regions like the EU. This guide provides patient-friendly steps to explore general assistance options, alternatives, and resources for accessing parathyroid hormone treatments affordably.[1][6] ## About Preotact **Preotact** is a form of parathyroid hormone (PTH 1-84) delivered via a pre-filled pen for subcutaneous injection. Each pen contains 1.61 mg of parathyroid hormone, providing 14 daily doses of 100 micrograms after reconstitution. It is administered once daily, typically in the abdomen, with peak plasma levels reached in 1-2 hours and a half-life of about 1.5 hours. The absolute bioavailability is 55%.[1][6] Preotact was indicated to reduce the risk of vertebral fractures in postmenopausal women with osteoporosis. Clinical studies showed benefits when combined with alendronate, but it does not reduce hip fracture risk. Patients often need supplemental calcium and vitamin D if dietary intake is insufficient. Treatment duration was recommended up to 24 months, but the product is noted as 'no longer authorised' by the European Medicines Agency (EMA).[1][6] **Important note**: Preotact is not approved or available in the US; it was primarily a European product. NPS Pharma (now part of Takeda) sold its royalty rights years ago, and no active US patient assistance program (PAP) is listed for it. If prescribed off-label or via import, costs can be high—often thousands per month—making assistance crucial.[3] ## Who Qualifies for Assistance? No specific Preotact PAP exists with defined income thresholds, but general pharmaceutical assistance programs (like state or foundation-based ones) typically target uninsured, underinsured, or low-income patients. Common eligibility includes: - Household income up to 400% of the Federal Poverty Level (FPL), adjusted for family size and high-cost areas.[7] - US residency and a valid prescription for an FDA-approved condition (note: Preotact is not FDA-approved). - For similar PTH treatments (e.g., Natpara, a related PTH analog for hypoparathyroidism), programs require proof of medical necessity. Since details are unavailable, contact NPS Pharma/Takeda or general resources like the Kentucky Prescription Assistance Program (KPAP) at 1-800-633-8100 for guidance on free/low-cost options.[2] ## Income Eligibility Breakdown | Household Size | 100% FPL | 300% FPL | 400% FPL (Common Max) | |----------------|----------|----------|-----------------------| | 1 Person | $15,060 | $45,180 | $60,240 | | 2 People | $20,440 | $61,320 | $81,760 | | 3 People | $25,820 | $77,460 | $103,280 | | 4 People | $31,200 | $93,600 | $124,800 | *Table based on 2026 FPL guidelines; exact thresholds vary by program. High-cost area adjustments may increase limits by 15-25%. No Preotact-specific limits found.*[7] ## Insurance Requirements Most PAPs require some insurance but assist with copays. Uninsured patients may qualify for free medication via manufacturer or foundation programs like HealthWell (for related hyperparathyroidism treatments). Medicare Part D patients can get copay help, but Part B premium assistance is limited. Programs refer uninsured to state aid like KPAP.[2][7] ## Step-by-Step Application Process 1. **Confirm Prescription**: Get a prescription from your doctor for Preotact or equivalent (e.g., Natpara if applicable). 2. **Check Manufacturer**: Contact NPS Pharma/Takeda (no direct PAP phone listed; search Takeda US PAPs online or call 1-877-825-3327 for general inquiries). 3. **Use State Programs**: Call KPAP (1-800-633-8100, Mon-Fri 8AM-4PM EST) to identify matching programs.[2] 4. **Apply to Foundations**: For related conditions, apply to HealthWell Foundation (online application; requires insurance for copay funds).[7] 5. **Gather Documents**: Proof of income (tax returns, pay stubs), prescription, insurance card (if any), doctor's statement.[7] 6. **Submit**: Online, mail, or phone; processing varies. 7. **Follow Up**: Track status weekly. ## Timeline and Delivery General PAPs process applications in 2-4 weeks; urgent cases may ship in 7-14 days. Medications ship directly to your pharmacy or home via mail. Refills require reauthorization every 3-12 months. Use pharmacy cards for copays where applicable.[7] ## Alternatives if Denied or Unavailable - **Biosimilars/Alternatives**: No biosimilars listed. Consider Natpara (PTH 1-34) for hypoparathyroidism or Sensipar (cinacalcet) for hyperparathyroidism via Simplefill (1-877-386-0206) or PAF Co-Pay Relief.[4][5] - **Foundations**: HealthWell for secondary hyperparathyroidism drugs (up to 400% FPL).[7] - **State Aid**: KPAP or NeedyMeds.org for listings. - **Generic Options**: PTH not generic; explore bisphosphonates or denosumab for osteoporosis. - **Import/Compounding**: Consult doctor for legal options, but not recommended without guidance. ## Disclaimer This guide is for informational purposes only and not medical or legal advice. Preotact is no longer authorized in the EU and unavailable in the US, so availability is limited. Eligibility, program details, and FPL change; verify with providers. Consult your healthcare provider before starting treatment. NPS Pharma provides no confirmed PAP; use general resources. Last updated based on available data as of 2026.

Program information last verified: March 30, 2026