Recorlev

Indicated For

Cushing's syndrome

About This Medication

# Recorlev Patient Assistance Program Patient Guide: How to Get Recorlev (levoketoconazole) at Low or No Cost Recorlev (levoketoconazole) is a prescription medication used to treat adults with endogenous Cushing's syndrome by lowering high cortisol levels. The **Recorlev Patient Assistance Program**, offered by **Xeris Pharmaceuticals, Inc.**, provides free medication to eligible patients facing financial hardship, including those who are uninsured, underinsured, or on Medicare/Medicaid.[1][3][6] ## About Recorlev (levoketoconazole) **Recorlev** is an oral tablet taken twice daily to help manage Cushing's syndrome, a rare condition where the body produces too much cortisol hormone. This can cause symptoms like weight gain, high blood pressure, fatigue, muscle weakness, and mood changes. Unlike surgery or other treatments, Recorlev works by blocking an enzyme that produces cortisol in the body.[1][6][8] **Important safety note**: Recorlev has a Boxed Warning for potential liver injury and adrenal insufficiency (low cortisol levels). Common side effects include nausea, vomiting, low potassium, high blood pressure, headache, and easy bruising or bleeding. Always take it under close doctor supervision with regular blood tests for cortisol, liver function, and electrolytes.[6][8] This program through **Xeris CareConnection™** not only offers financial help but also connects you with a dedicated Patient Access Manager (PAM), specialty pharmacy support from PANTHERx Rare Pharmacy, and education on Cushing's.[1][5] ## Who Qualifies for the Program? The program is **needs-based** and open to patients who cannot afford Recorlev due to financial challenges. Specific income thresholds (like Federal Poverty Level percentages) are not publicly listed, as eligibility is determined case-by-case based on household income, expenses, and financial hardship.[3] Eligible groups include: - Uninsured patients - Underinsured patients (high copays or deductibles) - Medicare or Medicaid patients - Commercially insured patients who qualify for the $0 copay program or free medication[1][3][6] **Income Eligibility Breakdown** Since exact dollar limits aren't specified, Xeris reviews your full financial picture. Here's a general guide based on similar programs (always confirm with Xeris): | Household Size | Estimated Income Limit (e.g., ~400-500% FPL)* | Notes | |---------------|---------------------------------------------|-------| | Individual | Up to ~$60,000-$75,000/year | Needs-based assessment required | | Couple | Up to ~$80,000-$100,000/year | Includes all household income/expenses | | Family of 3 | Up to ~$100,000-$125,000/year | Proof of hardship key | | Family of 4+ | Up to ~$120,000-$150,000/year | Case-by-case; higher for larger families | *Estimates only; FPL varies by year/location. Program funded by Xeris Pharmaceuticals provides **free medication** upon approval—no set FPL percent listed.[3][4] Contact (844) 444-7258 for your situation.[1][3] ## Insurance Requirements No insurance is required, making it accessible for all. However: - **Commercially insured**: May qualify for **$0 copay card** or free drug if copays are unaffordable.*[1][3][6] - **Medicare/Medicaid**: Eligible for patient assistance; program helps navigate coverage gaps.[3] - **Underinsured/Uninsured**: Primary focus—free medication shipped directly.[1][3] *Restrictions apply; not for government-insured in some cases, but Recorlev program explicitly includes Medicare/Medicaid.[3] ## Step-by-Step Application Process 1. **Talk to your doctor**: Discuss if Recorlev is right. They complete the **Prescription Start Form** (download from recorlev.com).[7] 2. **Gather documents**: - Enrollment Form - Prescription Start Form - Relevant medical records (chart notes, recent labs like UFC cortisol tests, diagnosis proof) - Insurance cards (both sides, if applicable) - Medication list (last 6 months) - Proof of income/hardship (pay stubs, tax returns—not always required but helpful)[3][7] 3. **Submit by fax**: Doctor/patient faxes to **1-866-990-4540** or **1-312-276-4846** for Xeris CareConnection.[3][7] 4. **Sign patient authorization**: Allows sharing info with Xeris, pharmacy, insurer (optional but needed for help).[7] 5. **Call for help**: (844) 444-7258 (Mon-Fri, 8AM-7PM ET). PAM assigns support.[1][3] Applications processed by PANTHERx; expect dedicated follow-up.[1] ## Timeline and Delivery Processing time varies (typically 1-2 weeks, but call for updates—no fixed timeline listed).[3] Once approved, **Recorlev ships free directly to your home** via PANTHERx Rare Pharmacy. They'll call to check in, manage refills, and monitor drug interactions. Free courier for lab tests available.[1][3] **Reauthorization**: Yes, required periodically—your doctor resubmits updated info.[3] ## Alternatives if Denied or Ineligible - **$0 Copay Program**: For commercial insurance if not fully qualifying for free drug.*[1][6] - **HealthWell Foundation**: Up to $10,000/year for Cushing's (commercial, Medicare/Medicaid, etc.).[3] - **PANTHERx or PAM appeal**: Call (844) 444-7258 to discuss denial reasons and reapply with more docs.[1][5] - **Other Xeris support**: Insurance navigation, patient advocacy connections.[5] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and forms can change—**always verify with Xeris CareConnection at (844) 444-7258 or recorlev.com**. Not medical advice; consult your doctor. Program may have restrictions/limitations. Xeris not liable for issues from this info.[1][3][7]

Program information last verified: March 30, 2026