SOLU-CORTEF

Indicated For

adrenal crisis, adrenocortical insufficiency, acute stress dosing

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get SOLU-CORTEF (hydrocortisone sodium succinate) at Low or No Cost SOLU-CORTEF (hydrocortisone sodium succinate) is a corticosteroid medication used to treat severe inflammation, allergic reactions, adrenal insufficiency, and other conditions requiring rapid steroid therapy. The **Pfizer Patient Assistance Program** provides this medication at no cost to eligible uninsured or government-insured patients who meet income limits, typically up to **300% of the Federal Poverty Level (FPL)** for primary care products like SOLU-CORTEF. ## Who Qualifies for the Program? Eligibility focuses on financial need, residency, insurance status, and medical requirements. Key criteria include: - **Residency**: You must live in the U.S. or a U.S. territory. - **Age**: Generally 18 years or older (or represented by a legal guardian). - **Prescription**: A valid prescription from a U.S.-licensed healthcare provider for outpatient use, with an FDA-approved diagnosis. - **Insurance**: Uninsured or enrolled in government insurance (e.g., Medicare, Medicaid) but unable to afford costs. **Commercially insured patients are not eligible**. - **Income**: Household income at or below program limits, based on Federal Poverty Level (FPL) guidelines. For SOLU-CORTEF, a primary care product, the threshold is **300% FPL**. Limits may vary slightly by household size and product category (higher for specialty drugs, up to 500-600% FPL). ## About SOLU-CORTEF (hydrocortisone sodium succinate) **SOLU-CORTEF** is an injectable form of hydrocortisone, a synthetic glucocorticoid mimicking the body's natural cortisol. It's administered intravenously or intramuscularly for urgent situations like anaphylaxis, shock, arthritis flares, or autoimmune disorders. Unlike oral steroids, it acts quickly. Common uses include: - Severe allergic reactions - Asthma exacerbations - Adrenal crisis - Inflammatory bowel disease flares **Important safety notes**: Long-term use requires monitoring for side effects like high blood pressure, osteoporosis, or infections. Always follow your doctor's instructions. This program covers the medication cost but not administration fees or doctor visits. ## Income Eligibility Breakdown Income limits are calculated annually based on the **Federal Poverty Level (FPL)**, updated yearly by the U.S. Department of Health & Human Services. For 2026, use the latest FPL charts (check www.pfizerrxpathways.com for updates). Here's a table for **300% FPL** (pre-tax household income): | Household Size | Annual Income Limit (300% FPL) | |----------------|-------------------------------| | 1 (Individual) | $45,180 | | 2 (Couple) | $61,320 | | 3 | $77,460 | | 4 | $93,600 | | +1 per member | +$16,140 | *Notes*: Proof of total household income is required (e.g., tax returns, W-2s). Electronic verification is optional; otherwise, submit documents. Limits may be higher for certain products—confirm for SOLU-CORTEF via the Program Finder. ## Insurance Requirements - **Eligible**: No insurance, Medicare Part D/Advantage (with Medicare Prescription Payment Plan enrollment if applicable), Medicaid, or other government programs where costs are unaffordable. - **Not Eligible**: Commercial insurance (employer plans, marketplace plans). Medicare patients must exhaust prior authorizations and attest to inability to pay. - Submit copies of insurance cards (front/back) and denial letters if coverage was rejected after appeal. ## Step-by-Step Application Process 1. **Check Eligibility**: Visit **www.pfizerrxpathways.com**, use the Program Finder, and enter "SOLU-CORTEF". Confirm details for your situation[1][7]. 2. **Gather Documents**: - Proof of income (e.g., 1040 tax return pages 1-2, W-2, pay stubs, SSA-1099). - Proof of residency (utility bill, lease). - Valid prescription. - Insurance documentation (cards, denial letters). 3. **Complete Application**: - **Online (Preferred)**: Use Pfizer PAP Connect at pfizerpapconnect.com. New patients create an account; upload docs[3][9]. - **Manual**: Download form from website, have doctor complete prescriber section. - Call **(800) 505-4426** for help[1]. 4. **Submit**: Online upload, mail to P.O. Box 66585, St. Louis, MO 63166-6585, or fax to 866-470-1748 / 1-877-548-1734[4][10]. 5. **Sign Certifications**: Patient attests to income, affordability, and consents to verification. ## Timeline and Delivery - **Processing**: 2-3 weeks for approval notification[1][4]. - **Delivery**: Medication shipped free to your home or doctor's office. You'll receive an enrollment letter with your term (typically 1 year) and refill instructions. - **Reauthorization**: Required annually or upon refill; use PAP Connect for easier renewals[3]. ## Alternatives if Denied - **Appeal**: Contact the program phone for reasons and resubmit missing docs. - **Other Assistance**: Check NeedyMeds.org, RxAssist.org, or state programs. For Medicare, explore Extra Help or state pharmaceutical aid. - **Manufacturer Co-Pay Cards**: Not for uninsured; try for commercially insured via Pfizer Oncology Together if applicable[5]. - **Generic Options**: Hydrocortisone sodium succinate generics may be available; discuss with your doctor. - **No Biosimilars**: None listed for SOLU-CORTEF. ## Disclaimer This guide is for informational purposes only and based on publicly available program details as of 2026. Eligibility rules, income limits, and processes can change—always verify at www.pfizerrxpathways.com or call (800) 505-4426. Pfizer does not guarantee approval. Consult your healthcare provider for medical advice. Not affiliated with Pfizer; patient should review privacy policies at Pfizer.com/privacy[10]. (Word count: 1028)

Program information last verified: March 30, 2026