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Cardiology

Repatha

Generic: evolocumab

Manufacturer: Amgen  ·  Program: Amgen Safety Net Foundation

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured (insurance doesn't cover Repatha or copay unaffordable)

Residency

US resident

Income Threshold

Up to 500% FPL

Individual Income Limit

$72,900/year

Program Information

Processing Time

1–2 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — annual

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
  • physician attestation
  • insurance information

Indicated For

high LDL cholesterol, cardiovascular disease

About This Medication

# Amgen Safety Net Foundation Patient Guide: How to Get **Repatha** (evolocumab) at Low or No Cost **Repatha (evolocumab)** is a prescription injection used to lower **LDL cholesterol** (bad cholesterol) and reduce the risk of heart attack, stroke, and certain heart procedures in adults with cardiovascular disease or high cholesterol not controlled by diet and statins alone. This guide explains the **Amgen Safety Net Foundation** program, which provides **Repatha free** to qualifying uninsured or underinsured patients based on income and other criteria. ## Who Qualifies for the Program? The Amgen Safety Net Foundation helps U.S. residents (including Puerto Rico, Guam, American Samoa, and U.S. Virgin Islands) who live in the U.S. for at least six months and meet strict financial and insurance rules. You must: - Have household income at or below **400% of the Federal Poverty Level (FPL)**. - Be **uninsured** (no prescription coverage) or **underinsured** (insurance denies Repatha or copays are unaffordable). - Not be eligible for Medicaid or Medicare's Low-Income Subsidy (Extra Help). - Agree not to seek reimbursement from insurance or government programs for Repatha received through the foundation. **Key exclusions:** Patients eligible for Medicaid, Medicare Extra Help, or those who can afford the medicine do not qualify. The program is independent—not government-funded—and sponsored by Amgen Inc.[2][3] ## Income Eligibility Breakdown Eligibility is based on **household size** and income at or below **400% FPL**. Use the table below to check if your household qualifies (2026 guidelines; confirm current FPL at application as levels adjust yearly). | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $62,400 | | 2 (Couple) | $84,080 | | 3 | $105,760 | | 4 | $129,600 | *Add ~$24,000 per additional household member.* Examples: A family of 5 qualifies up to $153,600; family of 6 up to $177,520. Provide proof like tax returns or pay stubs.[1][2] ## About Repatha **Repatha** is a PCSK9 inhibitor given as a self-administered subcutaneous injection every 2 or 4 weeks (140 mg/1 mL or 420 mg/3.5 mL SureClick autoinjector or Pushtronex system). It's for: - Adults with high LDL-C despite statins/diet. - Reducing cardiovascular risk in established heart disease. Common side effects include injection site reactions, flu-like symptoms, back pain. Always follow your doctor's instructions. Discuss with your healthcare provider (HCP) if Repatha is right for you.[1] ## Insurance Requirements - **Uninsured:** No prescription drug coverage at all. - **Underinsured:** Insurance exists but doesn't cover Repatha, or copays exceed what you can afford after other assistance. - **Medicare/Medicaid note:** Underinsured Medicare Part D patients may qualify if coverage is limited and income rules are met—but **not** if eligible for Extra Help or Medicaid.[3] Provide insurance denial letters, Explanation of Benefits (EOB), or proof of unaffordable copays. Notify the foundation within 30 days of any insurance changes.[2] ## Step-by-Step Application Process 1. **Confirm eligibility:** Check income, residency, and insurance. Gather documents. 2. **Get forms:** Download patient application and Product Prescription Form from Amgen Safety Net Foundation site or call (844) 737-2842 / 800-932-3060 (Mon-Fri 8am-8pm ET).[3] 3. **Complete patient section:** Fill pages 1-3 with personal info, income, insurance details. Sign patient certification (confirms accuracy, no reimbursement seeking).[2] 4. **Physician completes:** HCP fills Product Prescription Form, attests to medical need. 5. **Submit:** Patient/HCP fax to 833-959-1409 with all docs. Or mail/call for guidance. Incomplete apps delay processing.[3] 6. **Verification:** Foundation reviews; may request more info. 7. **Decision:** You'll be notified by mail/email. **Required Documents:** - Proof of income (tax return, W-2, pay stubs). - Proof of residency (utility bill, lease). - Physician attestation/prescription. - Insurance info (cards, denial letters, EOB).[1][2][3] ## Timeline and Delivery - **Processing:** 2-4 weeks after complete submission. - **Enrollment:** Up to 12 months; reauthorization needed annually with new app.[3] - **Delivery:** Free Repatha shipped directly to your home after consent. Specialty pharmacy coordinates.[3] Track status by calling (844) 737-2842. ## Alternatives if Denied or No Biosimilars No biosimilars available for Repatha.[data] If denied: - Appeal with more docs. - Explore copay cards at Repatha.com/copay (commercial insurance).[1] - Other programs: HealthWell Foundation (hypercholesterolemia, Medicare).[3] - Patient Access Network (PAN), NeedyMeds, or state programs. - Generic statins or lifestyle changes—discuss with doctor. ## Reauthorization and Refills Program covers up to 12 months. Submit new application before expiration. HCP must reconfirm need. Notify of income/insurance changes within 30 days.[2][3] ## Important Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility, income thresholds, and rules can change—**always verify with Amgen Safety Net Foundation at (844) 737-2842**. Not medical/financial advice. Consult your doctor for treatment decisions. Amgen Safety Net Foundation is not government-funded; terms apply. By applying, you authorize income/insurance verification and agree to terms.[1][2][3] (Word count: 1028)

Program information last verified: March 30, 2026

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