Rheumatrex

Bausch Health Patient Assistance Program: How to Get Rheumatrex (Methotrexate) at Low or No Cost

About This Program

The Bausch Health Patient Assistance Program (PAP) is designed to help uninsured and underinsured patients access prescription medications at no cost or reduced cost. If you've been prescribed Rheumatrex (methotrexate) but are struggling to afford it, this program may be able to help you get the medication you need.

Who Can Apply?

To qualify for the Bausch Health PAP, you must meet all of the following requirements[1]:

• Be a legal United States resident
• Have a valid prescription from a licensed U.S. healthcare professional for Rheumatrex
• Not have insurance coverage for the prescribed Bausch Health product, or have insurance that doesn't cover it
• Be receiving outpatient treatment (not hospitalized)
• Meet the program's pre-defined eligibility requirements and total annual household income requirements
• If you are a Medicaid patient, you must use the separate "Application for Medicaid-Only Patients" form

About Rheumatrex (Methotrexate)

Rheumatrex is a prescription medication used to treat various conditions, including certain types of cancer, autoimmune diseases, and inflammatory conditions. Because this medication can be expensive, the Bausch Health PAP helps ensure that cost doesn't prevent you from accessing the treatment your doctor has prescribed.

Income Eligibility

While the search results do not specify exact income thresholds, the program does have income limits that vary based on family size and state[3]. The program is designed to assist those in genuine financial need. To determine if you qualify based on income, you'll need to provide information about your total annual household income when you apply. The program reviews applications on a case-by-case basis, so even if your income is slightly above general guidelines, you may still qualify depending on your circumstances.

Insurance Requirements

You are eligible for this program if you do not have insurance coverage for Rheumatrex[1]. However, if you have private insurance that doesn't cover this specific medication or has significant limitations, you may still qualify[3]. If you are a Medicaid patient, you must apply using the separate Medicaid-only application form and can apply by phone[4].

How to Apply

There are three ways to submit your application[4]:

Option 1: Phone Application (Medicaid Patients Only)

If you are on Medicaid, you can apply directly by phone:

Phone: 1-833-862-8727

Have the following information ready[4]:

• Your name and address
• Social Security number or proof of legal U.S. residency
• Medicaid plan information
• Product name and strength (Rheumatrex)
• Your healthcare provider's information

Option 2: Mail Application

Complete the application form and mail it to[1][4]:

Bausch Health Patient Assistance Program P.O. Box 991624 Louisville, KY 40269

Option 3: Fax Application

Fax your completed application to[1][4]:

Fax: 1-844-705-0160

Required Documents and Information

Regardless of how you apply, your application must include[1][4]:

• Completed patient information section with your personal details and contact information
• Insurance information (front and back copies of your medical and prescription insurance cards)
• Valid prescription from your healthcare provider for Rheumatrex (can be submitted electronically or on the form)
• Your signature or verbal attestation by phone—a caregiver or healthcare provider cannot sign on your behalf[4]
• Healthcare provider certification completed and signed by your prescribing doctor
• Proof of income (if required)

Important: If any required information is missing, your application will be put on hold until all documentation is received[1].

Application Timeline

The application review process typically takes two to four weeks, depending on factors such as submission volume and the completeness of your documentation[3]. There is no cost to apply[1].

What Happens After You Apply?

Once your application is approved, the program will provide you with Rheumatrex at no cost or reduced cost. All applications are reviewed on a case-by-case basis[1], so approval depends on your individual circumstances.

If Your Application Is Denied

If your application is denied, contact the program at 1-833-862-8727 to understand why and explore alternative options. You may be able to reapply if your circumstances change, or the program staff can discuss other resources that might help you access your medication.

Important Reminders

• You must sign the application yourself or complete a verbal attestation by phone; a caregiver or healthcare provider cannot sign on your behalf[4]
• Your healthcare provider must complete their portion of the form and provide a valid prescription
• All required information must be provided; incomplete applications will be delayed
• The program is designed for outpatient treatment only

Disclaimer

This guide provides general information about the Bausch Health Patient Assistance Program based on current program guidelines. Program eligibility, requirements, and benefits may change. For the most up-to-date and complete information, contact the program directly at 1-833-862-8727 or visit the official program website. Always consult with your healthcare provider about your treatment options and medication access.