Spevigo

Indicated For

Generalized Pustular Psoriasis (GPP)

About This Medication

# Boehringer Ingelheim Patient Assistance Program for Spevigo: How to Get Spevigo at Low or No Cost Spevigo (spesolimab-sbzo) is an injectable medication used to treat flares of **generalized pustular psoriasis (GPP)** in adults, a rare and severe form of psoriasis characterized by sudden outbreaks of pustules covering large areas of the body.[2][5] Boehringer Ingelheim, the manufacturer, offers patient assistance programs like **BI Cares Patient Assistance Program** and **BI Solutions Plus Co-Pay Assistance Program** to help eligible patients access Spevigo at low or no cost, depending on insurance status and income.[3][4] ## About Spevigo Spevigo works by targeting the interleukin-36 receptor (IL-36R), a protein involved in the inflammatory response that drives GPP flares. It is administered **intravenously (IV)** for acute flares (typically one or two doses per flare) or **subcutaneously (SC)** for maintenance therapy in patients prone to frequent flares.[2] A single IV dose is given over 90 minutes, and SC doses are self-administered after training. Spevigo is FDA-approved specifically for GPP flares, not plaque psoriasis, and requires administration by a healthcare professional initially.[2][5] Common side effects include injection-site reactions, upper respiratory infections, and chills. Always discuss risks with your doctor. ## Who Qualifies? Boehringer Ingelheim's programs serve **commercially insured, Medicare, Medicaid, underinsured, and uninsured** patients.[3][4] Key programs include: - **BI Solutions Plus Co-Pay Program**: For commercially insured patients, pay as low as **$0 per fill** (restrictions apply, such as annual maximums).[3][4] - **BI Cares Patient Assistance Program**: For uninsured or underinsured, potentially providing free medication.[3] Eligibility often hinges on income, insurance, and residency in the US. Government insurance like Medicaid, Medicare Part D, VA, DOD, TRICARE, or state programs may disqualify you from copay cards.[4] If insured, check for prior authorization (PA), as Spevigo often requires it based on GPP severity scores like GPPPGA ≥3 or pustules covering ≥5% body surface area.[2][5] ## Income Eligibility Breakdown Specific income thresholds for BI Cares are not publicly detailed in available sources, but similar programs (e.g., Patient Advocate Foundation) use **300-400% of the Federal Poverty Level (FPL)**, adjusted for household size and cost-of-living.[1] Call 1-833-773-8446 for exact criteria.[5] Here's a general FPL reference table for 2026 (approximate; verify current guidelines): | Household Size | 300% FPL | 400% FPL | |---------------|----------|----------| | 1 (Individual)| $45,180 | $60,240 | | 2 (Couple) | $61,320 | $81,760 | | 3 | $77,460 | $103,280| | 4 | $93,600 | $124,800| *Add ~$16,140 (300%) or ~$21,520 (400%) per additional person. Notes: Excludes government-insured from copay programs; income proof required.[1][4]* ## Insurance Requirements - **Commercial Insurance**: Eligible for BI Solutions Plus copay card ($0 copay possible).[3][4] - **Medicare/Medicaid**: May qualify for BI Cares or Extra Help (Low-Income Subsidy via SSA: 1-800-772-1213).[1][3] - **Uninsured/Underinsured**: BI Cares or state Medicaid via HealthCare.gov.[1] Spevigo is typically covered under **medical benefits** (infusion) rather than pharmacy, so confirm with your plan. PA is common; denial risks full out-of-pocket costs (~$10,000+ per dose without aid).[2][5] Not valid where prohibited by law (e.g., state employee plans).[4] ## Step-by-Step Application Process 1. **Confirm Prescription**: Ensure your doctor prescribes Spevigo for FDA-approved GPP flare and completes any PA forms.[2] 2. **Check Eligibility**: Visit Boehringer Ingelheim's site or call **1-833-773-8446**.[5] 3. **Get Copay Card (Commercial)**: Activate BI Solutions Plus card online or via phone for instant savings at pharmacy/specialty pharmacy.[3][4] 4. **Apply for BI Cares (Uninsured)**: Submit application with proof of income, residency, no insurance, and prescription. Doctor may need to attest.[3] 5. **Alternative Paths**: If denied, apply for Medicaid (HealthCare.gov), PAN Foundation, HealthWell, or Patient Advocate Foundation (income ≤400% FPL, insured).[1] 6. **Submit Documents**: Typically includes income tax returns, pay stubs, insurance card, prescription.[1] Applications are processed via phone, website, or prescriber portals.[3][5] ## Timeline and Delivery Copay cards activate **immediately** upon eligibility confirmation.[3] BI Cares processing time varies (1-4 weeks estimated based on similar programs; call for specifics).[6] Medication ships directly to your home or doctor's office via specialty pharmacy. IV doses require infusion center; SC via mail.[2] Refills follow reauthorization (annually or per flare).[2] ## Alternatives if Denied - **Medicaid**: Apply at HealthCare.gov; covers full cost if eligible.[1] - **Extra Help (Medicare)**: SSA.gov or 1-800-772-1213.[1] - **Foundations**: PAN, HealthWell (copays/deductibles), Patient Advocate (≤400% FPL).[1] - **Other BI Programs**: Inquire via 1-833-773-8446.[5] - **Biosimilars**: None currently available.[ ] ## Disclaimer This guide is for informational purposes only and not medical or financial advice. Eligibility, terms, and availability change; contact Boehringer Ingelheim at 1-833-773-8446 or your healthcare provider for personalized guidance. Programs may have restrictions, maximum benefits, or end without notice. Verify insurance coverage to avoid surprise costs.

Program information last verified: March 25, 2026