PROVENGE
Generic: sipuleucel-T
Manufacturer: Dendreon · Program: Dendreon PROVENGE Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or rendered uninsured; separate co-pay program for commercial insurance; government insurance via foundations
Residency
US resident
Individual Income Limit
$225,000/year
Adjusted gross income of $225,000 or less for uninsured; $150,000 or less for commercial co-pay program
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Phone
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
- proof of residency
- prescription
- insurance status
Indicated For
metastatic castrate-resistant prostate cancer, mCRPC
About This Medication
# Dendreon PROVENGE Patient Assistance Program Patient Guide: How to Get PROVENGE (sipuleucel-T) at Low or No Cost PROVENGE (sipuleucel-T) is a personalized immunotherapy treatment for men with certain types of advanced prostate cancer, and the Dendreon PROVENGE Patient Assistance Program can provide it free to eligible uninsured patients.[1][7] This guide explains eligibility, application steps, and support options in simple terms to help you access this treatment. ## About PROVENGE (sipuleucel-T) **PROVENGE** is an autologous cellular immunotherapy, meaning it's made from your own immune cells to treat asymptomatic or minimally symptomatic metastatic castrate-resistant (hormone-refractory) prostate cancer.[1][8] The treatment process involves three cycles: first, your blood cells are collected through a procedure called leukapheresis at a specialized center. These cells are then processed at a Dendreon facility with prostatic acid phosphatase (PAP) and granulocyte-macrophage colony-stimulating factor (GM-CSF) to activate them against cancer cells.[8] About three days later, each dose is infused back into you at your doctor's office or infusion center, taking about 1 hour per infusion followed by 30 minutes of monitoring.[1][8] The full course repeats three times, typically over several weeks.[8] Before starting, get a venous assessment, stay hydrated, eat calcium-rich foods, and wear loose clothing with roll-up sleeves for infusions.[8] PROVENGE is covered by Medicare and most private insurances, with many patients facing low out-of-pocket costs.[1] However, if costs are a barrier, the Patient Assistance Program steps in. ## Who Qualifies for the Program? The program primarily serves **uninsured patients** or those **rendered uninsured** (insurance denies coverage for PROVENGE).[1][7] You must meet these key criteria: - US resident, age 18 or older.[1] - On-label prescription for advanced prostate cancer.[1] - Adjusted gross income (AGI) of **$225,000 or less**.[1][7] Eligibility is determined by Dendreon.[1] There's also a separate **PROvide Commercial Co-pay Program** for commercially insured patients with AGI of **$150,000 or less**, covering up to $6,000 in co-pays, co-insurance, or deductibles over the three treatments.[3] For government insurance like Medicare, independent foundations may cover costs—90% of Medicare fee-for-service patients have supplements with minimal/no out-of-pocket expenses, and 85% pay less than $50.[1] Visit www.fundfinder.org or contact foundations via the program.[1] ## Income Eligibility Breakdown Income limits focus on household adjusted gross income (AGI). Here's a clear table: | Household Type | AGI Limit for Uninsured/Free PROVENGE | AGI Limit for Commercial Co-pay Program | |---------------|---------------------------------------|-----------------------------------------| | Individual/Household | $225,000 or less[1] | $150,000 or less[3] | | Notes | US resident, 18+, on-label use[1] | Covers up to $6,000 over 3 treatments[3] | Larger families may have flexibility, but confirm by phone as specifics aren't detailed.[1][3] Provide your annual household AGI and number of members during application.[3] ## Insurance Requirements - **Uninsured or rendered uninsured**: Eligible for free PROVENGE.[1] - **Commercial insurance**: Use the co-pay program if income-qualified.[3] - **Government insurance (e.g., Medicare)**: Seek foundation help; PROVENGE is Medicare-covered.[1][9] Proof of insurance status is required.[7] Dendreon can help determine if you're 'rendered uninsured'.[1] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a prescription and discuss if PROVENGE is right. They can start enrollment.[3][8] 2. **Call Dendreon On Call**: Dial **(877) 336-3736** (Option 2 for assistance, Mon-Fri 8am-9pm ET; 24/7 for emergencies).[1][3] This is the main application method—no online form.[7] 3. **Provide details**: Share income, household size, residency, insurance status, and prescription info.[1][3] 4. **Submit documents**: Fax enrollment form to (877) 556-3737 if using doctor's form, or as directed.[3] Required: proof of income (e.g., tax returns), proof of residency, prescription, insurance status.[7] 5. **Eligibility review**: Dendreon assesses quickly; they handle referrals if needed.[1][3] Your doctor’s office can assist throughout.[1] ## Timeline and Delivery Processing time isn't specified, but Dendreon aims to help eligible patients access treatment promptly.[2] The PROVENGE process itself spans weeks: leukapheresis, 3-day processing, infusion—repeated three times.[8] Once approved, PROVENGE is **shipped to your physician's office or directly to you**.[7] Additional support like transportation assistance may be available for leukapheresis.[4][6] ## Alternatives if Denied or Ineligible - **Foundations**: List at provenge.com or www.fundfinder.org for government-insured patients.[1] - **Other programs**: Prescription Hope offers PROVENGE for $60/month (separate service).[5] - **RxAssist**: Check Dendreon listings for updates.[7] - **Appeal or reapply**: Contact Dendreon to discuss denial reasons and refile with more info.[1] - **Transportation**: CancerCare or Dendreon programs.[4][6] ## Important Disclaimer This guide is for informational purposes based on available program details as of latest sources.[1][3] Eligibility can change; **always verify with Dendreon at (877) 336-3736**.[1] Not medical advice—consult your doctor. Dendreon determines final eligibility. Income thresholds are AGI-based and subject to program updates.[1][7] For Medicare, contact your MAC or 1-800-Medicare if claims are denied.[9]
Program information last verified: March 30, 2026
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