QUTENZA

Indicated For

postherpetic neuralgia (PHN), diabetic peripheral neuropathy (DPN) of the feet

About This Medication

# My QUTENZA Connect Cost Savings Program Patient Guide: How to Get QUTENZA at Low or No Cost QUTENZA (capsaicin 8% topical system) is a prescription treatment for neuropathic pain, often from diabetic peripheral neuropathy (DPN), applied as patches in your doctor's office every 3 months for ongoing relief.[8][9] The **My QUTENZA Connect Cost Savings Program** from Averitas Pharma helps eligible patients pay **as little as $0** for both the medication and in-office application, covering copays, coinsurance, and deductibles.[1][2][4] ## About QUTENZA QUTENZA targets **TRPV1-expressing nociceptive nerve fibers** in the skin to reduce pain signals. It's not a daily pill—treatments last about **30 minutes** in your healthcare provider's (HCP) office, with patches cut to fit painful areas on feet or other spots.[8][9] Unlike over-the-counter capsaicin creams, QUTENZA is **prescription-strength 8% capsaicin**, FDA-approved for postherpetic neuralgia and painful DPN. Expect mild to moderate skin sensations like warmth or redness during application, managed by your HCP.[9] ## Who Qualifies? This program has **no income requirements**—it's open to most patients with commercial insurance facing out-of-pocket costs.[1][2] Key eligibility: - **Commercial insurance** covering QUTENZA (including Marketplace and FEHB plans) - **Excludes**: Medicare, Medicaid, uninsured, or government insurance users[1][2][4] - U.S. residents only - For QUTENZA prescribed as directed **Note**: QUTENZA ships **only to HCPs**, not patients. Your doctor or specialty pharmacy handles ordering.[1][2] ## Income Eligibility Breakdown | Household Size | Income Limit | FPL % | Notes | |---------------|--------------|-------|-------| | Individual | None | None | **No income requirements**; needs-based: no | | Couple | None | None | Open to all with qualifying insurance | | Family of 3 | None | None | Focuses on insurance coverage, not income | | Family of 4 | None | None | Confirm eligibility via phone or website | This makes it accessible regardless of earnings, unlike traditional PAPs.[3] ## Insurance Requirements You need **commercial insurance** that covers QUTENZA—**no Medicare, Medicaid, uninsured, or government programs**.[1][2][4] The program covers: - Medication copays/coinsurance/deductibles - In-office application costs (CPT codes)[4][8] **Medicare note**: Part B may cover QUTENZA (20% coinsurance after deductible), but this program **excludes Medicare**—explore Extra Help or other options.[3][5][6] Ask your HCP: "Are you enrolled? How do you order QUTENZA?" Enrolled offices bill for you; others may require upfront payment + reimbursement.[1] ## Step-by-Step Application 1. **Confirm Eligibility**: Visit **https://myqutenzacoverage.com/** or call **(833) 295-3579**. Get your **Cost Savings ID**.[1][2][5] 2. **Talk to HCP**: Schedule treatment. Confirm if their office or specialty pharmacy is enrolled. Give them your Savings ID.[1][2] 3. **Treatment Day**: Pay copay at office/pharmacy. **Keep receipts** and **Explanation of Benefits (EOB)** from insurance.[1][4] 4. **Submit for Savings**: - **Enrolled office**: They handle billing—you pay $0 upfront.[1] - **Reimbursement**: Download form from **qutenza.com/save-on-qutenza-treatment/**. Mail/fax with proof of payment + EOB. Select patient or provider reimbursement.[4] 5. **Approval**: Savings applied instantly or via check.[2] **Pro tip**: Register HCP at **MyQUTENZAConnect.com** for seamless billing.[8] ## Timeline and Delivery - **Processing**: Varies; call for status. No fixed time listed.[1] - **Delivery**: QUTENZA **ships to HCP office only**—never home. Application same-day.[1][2][9] - **Repeat**: Every **3 months** for ongoing relief. Use Savings ID each time.[8] ## Alternatives if Denied - **Appeals**: My QUTENZA Connect offers **prior auth/appeals support**—call (833) 295-3579.[6] - **Other savings**: GoodRx, Optum Perks coupons; check **Medicine Assistance Tool** or **NeedyMeds**.[5] - **Medicare**: Part B + Extra Help; state programs.[3][6] - **Uninsured/low-income**: Foundation aid, hospital charity (not this program).[6] - **No biosimilars** available.[data] ## Disclaimer This guide summarizes public info as of 2026—**not official advice**. Eligibility/terms change; confirm at **https://myqutenzacoverage.com/** or (833) 295-3579. Program excludes Medicare/government insurance; no income limits but insurance required. See full terms at **qutenza.com**. Consult HCP/insurer for personalized advice. Averitas not liable for misuse.[1][2][4]

Program information last verified: March 30, 2026