Rhophylac

Indicated For

Rh isoimmunization prevention, Immune Thrombocytopenic Purpura (ITP)

About This Medication

# CSL Behring Patient Assistance & Support Programs Patient Guide: How to Get Rhophylac (Rho(D) immune globulin) at Low or No Cost Rhophylac (Rho(D) immune globulin) is a vital medication used to prevent Rh hemolytic disease in pregnant women who are Rh-negative and carrying an Rh-positive baby, or to treat immune thrombocytopenic purpura (ITP). The **CSL Behring Patient Assistance & Support Programs** help **uninsured or underinsured patients** access therapies like Rhophylac at low or no cost if you meet eligibility criteria.[1][2][7][9] ## About Rhophylac and Why Assistance Matters Rhophylac is an injectable immune globulin that provides passive immunity against the Rh (D) antigen. It's typically given during pregnancy (around 28 weeks and postpartum) to prevent sensitization, or in ITP cases to raise platelet counts. Without insurance or with high costs, this essential treatment can be unaffordable. CSL Behring's programs bridge this gap by offering free or discounted medication to qualified individuals.[1][9] These programs include the main **Patient Assistance Program** for uninsured/underinsured patients and the **CSL Behring Assurance Program** for those experiencing a temporary lapse in private insurance coverage.[1][3][7][10] Note: Specific details for Rhophylac may align with CSL Behring's general protocols, as it's a key product in their portfolio.[1] ## Who Qualifies? Eligibility focuses on financial need and insurance status: - **Uninsured or underinsured** patients who cannot afford their CSL Behring therapy, including Rhophylac.[1][7][9] - U.S. residents only.[8] - For the Assurance Program: Must have (or recently had) **third-party private insurance** as primary coverage, be enrolled in the program for at least 3 months (or have 3 'Assurance points'), and experience a verified insurance lapse (e.g., job loss, not COBRA).[3][10] - **Not eligible** if covered by government programs like Medicare, Medicaid, Tricare, or SCHIP.[8][10] **Income Eligibility Breakdown** CSL Behring does not publicly specify exact Federal Poverty Level (FPL) thresholds (e.g., 400% FPL), but approval hinges on proving financial hardship through income documentation. Programs prioritize those with limited resources.[2][9] Here's a general guide based on similar assistance programs; contact CSL for your situation: | Household Size | Estimated Income Threshold (Annual, up to ~400-500% FPL)* | Notes | |---------------|-----------------------------------------------------------|-------| | 1 (Individual) | Up to $60,000+ | Proof via W2, pay stubs required[2] | | 2 (Couple) | Up to $80,000+ | Adjusted for family size | | 3 | Up to $100,000+ | Financial need assessed case-by-case | | 4 | Up to $120,000+ | *Estimates; call for exacts | *Thresholds are not fixed; submit docs for review. No prescription drug coverage via government insurance disqualifies.[8][10] ## Insurance Requirements - **Primary program**: For patients without prescription coverage or who are underinsured (high copays/deductibles).[1][9] - **Assurance Program**: Requires recent private insurance lapse verification; no government coverage allowed.[3][10] - Medicare/Medicaid patients typically ineligible for free product but may access other support like copay help (if commercially insured).[5][8] - Product must be purchased via specialty pharmacy, hemophilia treatment center, or outpatient hospital for eligibility in some cases.[8] ## Step-by-Step Application Process 1. **Contact CSL Behring**: Call **(888) 508-6978** for the Patient Assistance Program or 1-866-415-2164 for Assurance Program. Case managers guide you.[1][3] 2. **Gather Documents**: - Completed **Patient Assistance Qualification Form**.[2] - **Income proof**: W2, pay stubs, notarized income letter.[2] - **Brand-name prescription** for Rhophylac from your doctor.[2] - Proof of insurance status/lapse (for Assurance).[3][10] - Prescriber sections: Doctor completes and signs.[6][8] 3. **Submit**: Fax, mail, or as instructed (multiple methods available).[10] Prescriber may handle via referral form.[8] 4. **Verification**: CSL reviews eligibility; you'll be notified of status.[3] Applications are free and straightforward—case managers assist every step.[7] ## Timeline and Delivery - **Processing**: Expect notification soon after submission; Assurance enrollments verify quickly via phone/fax.[3][10] Exact times vary (days to weeks). - **Delivery**: Free product shipped directly (details via case manager). For Assurance, product continues during lapse.[3] - **Duration**: Up to 90 days per lapse or annual limits (e.g., $12,000/year in similar programs).[8][10] Reauthorization often needed. ## Alternatives if Denied or Additional Options - **If denied**: Reapply with new info or appeal by contacting hotline.[10] Explore **CSL Behring Assurance** if privately insured.[1] - **Copay assistance**: For commercial insurance (not government).[5] - **Other support**: Benefit investigation, nurse education, reimbursement help. Call 1-800-676-4266.[6][9] - **No biosimilars** listed for Rhophylac.[provided] - External: NeedyMeds, RxAssist, or state programs. ## Important Disclaimer This guide is for informational purposes based on publicly available CSL Behring data as of 2026. Eligibility, terms, and availability can change; CSL reserves the right to modify/deny without notice.[7][8][10] Always verify directly with CSL Behring at (888) 508-6978. Not medical advice—consult your doctor. Income estimates are illustrative; actual approval is case-by-case. Rhophylac per package insert only.[8]

Program information last verified: March 30, 2026