Rapivab

Indicated For

influenza

About This Medication

# Rapivab Patient Guide: How to Get Rapivab at Low or No Cost Rapivab (peramivir) is an injectable antiviral medication used to treat acute uncomplicated influenza in patients 2 years and older who have been symptomatic for no more than 2 days.[5] This guide explains how to access financial assistance for Rapivab, including manufacturer support, foundations, and government programs, since no dedicated manufacturer patient assistance program (PAP) is detailed in available resources.[1][2][4] ## About Rapivab Rapivab is given as a single intravenous (IV) infusion, typically in a hospital or clinic setting, and works against both influenza Type A and B viruses.[5][7] It's especially useful when oral antivirals like Tamiflu (oseltamivir) or Relenza (zanamivir) cannot be used due to contraindications, such as vomiting or severe symptoms requiring IV therapy.[2][8] The cash price for a 600 mg dose is about $900-$1,000 without insurance or assistance.[2] It's supplied in single-use vials of 200 mg/20 mL, often in cartons of three.[7] Administered via IV codes like CPT 96365 or HCPCS J2547 for billing.[3] Rapivab is not for severe influenza requiring hospitalization, where efficacy wasn't established.[5] Always consult your doctor for personalized advice. ## Who Qualifies for Assistance **No specific manufacturer-sponsored PAP** for Rapivab was identified with standard income thresholds, application processes, or free medication guarantees.[1][2][4] Instead, eligibility focuses on general patient assistance options for low-income, uninsured, or underinsured patients facing high costs. Key qualifiers include: - Low-income individuals unable to afford copays, deductibles, or full cash price. - Uninsured or those with insurance denials (common due to prior authorization requirements).[2][8] - Medicare Part D enrollees eligible for Extra Help/Low-Income Subsidy (LIS).[1][4] - Patients denied Medicaid or in coverage gaps.[4] Contact **BioCryst Patient Support** (manufacturer) at 1-833-964-2956 or via rapivab.com for current programs, hospital charity care, or state aid.[2][3] ## Income Eligibility Breakdown Specific PAP income limits for Rapivab are unavailable, but related programs like Medicare Extra Help use Federal Poverty Level (FPL) thresholds. Here's a general table based on 2026 Extra Help guidelines (check SSA.gov for updates, as they adjust annually): | Household Size | Annual Income Limit (100% FPL approx.) | Extra Help Eligibility (typically <135-150% FPL) | Notes | |---------------|---------------------------------------|-------------------------------------------------|-------| | Individual | ~$15,060 | <$20,000 (varies by assets) | No Part D premium/deductible[1] | | Couple | ~$20,440 | <$27,000 | Low copays[1] | | Family of 3 | ~$25,820 | <$34,000 | Includes resources < $17,550 (individual)[1] | | Family of 4 | ~$31,200 | <$41,000 | Add ~$5,380 per additional member | PAN Foundation and Patient Advocate Foundation (PAF) assist with copays if income is moderate but costs are burdensome—no strict FPL, but demonstrate financial need.[4] State programs vary; e.g., New York Essential Plan for low-income.[2] ## Insurance Requirements Many insurers (e.g., Blue Cross Blue Shield, Humana) require **prior authorization (PA)** for Rapivab, needing proof of symptoms ≤48 hours, failed oral antivirals, and medical necessity.[2][8] Medicare Part D may cover it, but PAPs often **exclude Medicare enrollees**—verify rules.[1] If insured, use copay cards or PAN/PAF for out-of-pocket help.[4] Uninsured qualify more easily for manufacturer/state aid.[2] ## Step-by-Step Application Process 1. **Confirm prescription and need**: Discuss with your doctor; get documentation of influenza diagnosis, symptom onset ≤48 hours, and why IV is needed.[2][5][8] 2. **Check insurance/PA**: Provider submits PA (e.g., fax BCBS 1-844-493-9206 or Humana 877-486-2621) with clinical notes, labs, test results.[2][8] 3. **Explore Extra Help (Medicare)**: Apply online at SSA.gov or call 1-800-772-1213. Qualify for $0 premiums/deductibles.[1][4] 4. **Contact BioCryst Support**: Call 1-833-964-2956 or visit rapivab.com for PAP, copay support, or referrals.[2][3] 5. **Apply to Foundations**: - **PAN Foundation**: For copays; apply online, show income/hardship.[4] - **PAF Co-Pay Relief**: Direct payments for copays; qualify via need demo.[4] 6. **State/Medicaid**: Contact state Dept. of Aging or Medicaid for coverage.[1][4] 7. **Pharmacy discounts**: Use GoodRx for coupons (up to 90% off cash price).[1] Gather: Proof of income/residency, prescription, insurance denial (if applicable), ID.[1][2][4] ## Timeline and Delivery - **PA decisions**: 72 hours standard, 24 hours expedited.[8] - **Extra Help**: 45 days processing.[1] - **Foundation aid**: Varies, often 1-2 weeks.[4] - **Delivery**: Rapivab is IV-administered in clinics/hospitals; assistance covers costs, not shipping meds home.[3][7] Refills rare—single-dose treatment. Track via provider portals or calls.[2][8] ## Alternatives if Denied - **Appeal insurance denial**: E.g., NY DFS within 4 months.[2] - **Oral antivirals**: Tamiflu, Xofluza if tolerable.[2][8] - **Other foundations**: PAN/PAF if not initially approved.[4] - **Hospital charity**: Inpatient care aid.[2] - **State programs**: Essential Plan (NY), PACE for dually eligible.[1][2] No biosimilars available.[ ] ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Program details change; verify with BioCryst (1-833-964-2956), SSA, or providers. Eligibility not guaranteed. Consult healthcare professionals for treatment decisions. Costs/pricing as of available 2026 data.[1][2][4][5]

Program information last verified: March 30, 2026