Stimufend

Indicated For

febrile neutropenia

About This Medication

# KabiCare Patient Support Program Patient Guide: How to Get Stimufend (pegfilgrastim-fpgk) at Low or No Cost Stimufend (pegfilgrastim-fpgk) is a biosimilar medication used to help reduce the risk of infection after chemotherapy by boosting white blood cell production. The **KabiCare Patient Support Program** from **Fresenius Kabi** offers financial assistance, copay support, and medication access for eligible patients prescribed Stimufend, potentially making it low or no cost.[4][8] ## About Stimufend and Why You Might Need Assistance **Stimufend** is an injectable biosimilar to Neulasta (pegfilgrastim), administered once per chemotherapy cycle, typically the day after treatment. It helps prevent **febrile neutropenia**, a serious drop in infection-fighting white blood cells common in cancer patients undergoing chemotherapy. As a biosimilar, Stimufend provides the same clinical benefits as the reference product at potentially lower costs, but out-of-pocket expenses can still be high without support.[8] High medication costs affect many patients. The KabiCare program simplifies access by offering copay assistance for commercially insured patients and additional help for uninsured individuals. Enrollment also connects you to insurance navigation and free medication if you qualify based on income and other criteria.[1][2][4] ## Who Qualifies for KabiCare? Eligibility focuses on insurance type, residency, and financial need. Key requirements include: - **U.S. residency** (including Puerto Rico). - Prescription for Stimufend for an FDA-approved use. - Primarily for **commercially insured** patients (private/non-governmental insurance covering Stimufend under pharmacy or medical benefits).[9] - **Uninsured patients** may qualify for additional assistance, such as free medication.[1][2] - **No eligibility** if covered by government programs like Medicare, Medicaid, or other federal/state healthcare (for copay assistance).[1][9] **Income Eligibility**: Specific household income thresholds are not publicly detailed online; eligibility criteria apply, often tied to federal poverty level (FPL). Contact KabiCare at 1-833-KABICARE (1-833-522-4227) for your situation. Programs like this typically consider household size and income—examples from similar programs use 400-500% FPL, but confirm directly.[1][2] | Household Size | Example Income Threshold (e.g., ~400-500% FPL)* | |---------------|-------------------------------------------------| | Individual | $60,000 - $75,000 | | Couple | $80,000 - $100,000 | | Family of 3 | $100,000 - $125,000 | | Family of 4 | $120,000 - $150,000 | *Estimates based on 2026 FPL guidelines; actual thresholds vary. Call for exact details. "Contact program for details" per guidelines.[1][9] ## Insurance Requirements - **Commercially insured**: Primary group—get copay cards reducing costs to as low as $0 (terms apply).[8][9] - **Uninsured**: May receive medication shipped free to you or your doctor's office.[1] - **Medicare/Medicaid**: Not eligible for copay help; explore other state/federal options.[1][9] - **Medical benefit plans**: Providers can submit claims for reimbursement (e.g., fax UB-04/CMS-1500 forms with EOB).[1][8] If your insurance denies coverage, KabiCare helps with appeals and alternatives.[4][10] ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm Stimufend prescription and get their involvement—they sign the form.[8] 2. **Gather documents**: - **Proof of income** (tax returns, pay stubs, W-2s). - **Proof of insurance** (card, policy details). - **Prescription** for Stimufend.[1][5] 3. **Choose enrollment method** (online preferred): - **Online**: Visit https://kabicare.trialcard.com, create account, complete form via CoverMyMeds portal or provider portal.[1][6][8] - **Fax**: Download form from kabicare.us, fax to number on form.[2][8] - **Phone**: Call 1-833-KABICARE (8 a.m.-8 p.m. ET) for copay-only or full enrollment.[1][3][8] 4. **Sign and submit**: Patient and prescriber signatures required. Provide consent for info sharing.[5][6] 5. **Wait for approval**: If eligible, auto-enrolled in copay; full program adds more support.[1][2] Applications are straightforward, taking 10-20 minutes online.[7][8] ## Timeline and Delivery - **Processing**: Varies; copay claims processed in 7-14 business days (paper check mailed).[1][2] - **Reimbursement**: Providers get paid 7-10 days after claim submission; 180-day lookback for past claims.[1] - **Delivery**: Medication shipped to **patient's home** or **physician's office** at no cost if qualified.[1] **Reauthorization**: Required periodically—resubmit proof of ongoing need/prescription.[1] ## Biosimilar Alternatives and If Denied **Stimufend** is a biosimilar to **Neulasta (pegfilgrastim)**—same efficacy, often cheaper. If denied: - Appeal via KabiCare insurance support.[4] - Switch to Neulasta (may have its own Amgen program). - Explore PAN Foundation, HealthWell, or state programs. - Contact 1-833-KABICARE for other Fresenius Kabi options.[8][9] ## Important Disclaimer This guide is for informational purposes based on available program details as of general knowledge. Eligibility, benefits, and terms can change—**always verify with KabiCare at 1-833-KABICARE or kabicare.us**. Not legal/medical advice. Program excludes government-insured for copay; consult your doctor/insurer. Fresenius Kabi reserves rights to modify/terminate.[1][9] (Word count: 942)

Program information last verified: March 30, 2026