Stivarga

Indicated For

colorectal cancer, GIST, HCC

About This Medication

# Bayer US Patient Assistance Foundation Patient Guide: How to Get Stivarga at Low or No Cost Stivarga (regorafenib) is a prescription medication used to treat certain types of cancer, such as colorectal cancer that has spread and cannot be treated with surgery. The **Bayer US Patient Assistance Foundation** helps eligible patients in the United States and Puerto Rico get Stivarga at no cost if they face financial challenges, are uninsured or underinsured, and meet income requirements.[1][2][3][4][5] ## About Stivarga (Regorafenib) **Stivarga** is an oral tablet taken once daily, typically for 21 days followed by a 7-day break in a 28-day cycle. It works by blocking enzymes that help cancer cells grow and spread. Your doctor will determine the right dose based on your condition, usually starting at 160 mg. Common side effects include fatigue, diarrhea, high blood pressure, and hand-foot skin reactions. Always follow your healthcare provider's instructions and report side effects promptly. This program provides the medication free to qualified patients, easing the financial burden of treatment costs, which can exceed thousands of dollars per month without assistance.[3][5] ## Who Qualifies for the Program? The Bayer US Patient Assistance Foundation is designed for patients who: - Live in the United States or Puerto Rico.[2][5] - Have limited or no prescription insurance coverage for Bayer medications like Stivarga.[1][2][4] - Meet income eligibility guidelines set by Bayer (specific dollar amounts are not publicly detailed; eligibility is determined case-by-case).[1] - Are not eligible for other government or state assistance programs without denial documentation.[5] Patients enrolled in government programs like Medicare or Medicaid may have limited eligibility. For example, Medicare Part D patients eligible for Low-Income Subsidy (LIS or "Extra Help") must provide proof of denial from that program.[1] The foundation prioritizes those truly facing financial hardship without other options.[3][6] ## Income Eligibility Breakdown Bayer determines eligibility based on household income, but exact thresholds (e.g., percentage of Federal Poverty Level) are not specified in public sources. Applications are reviewed individually, considering total household income, family size, and other factors. Here's a general overview based on program notes: | Household Size | Estimated Threshold | Notes | |---------------|---------------------|-------| | Individual | Determined by Bayer | Case-by-case review; proof of income required. No fixed FPL percentage listed.[1] | | Couple | Determined by Bayer | Include all household income sources.[2] | | Family of 3 | Determined by Bayer | Adjustments for dependents.[1] | | Family of 4+ | Determined by Bayer | Larger families may qualify with higher income.[5] | **Tip:** Gather recent tax returns, pay stubs, or benefit statements as proof. Bayer does not publish fixed limits to allow flexibility, but incomes typically need to be low enough to demonstrate need.[1][2] ## Insurance Requirements This program is for **uninsured or underinsured patients** whose insurance does not cover Stivarga or leaves high out-of-pocket costs.[2][4][5] Key rules: - **No commercial insurance alternative funding**: Patients cannot apply just because their plan requires manufacturer assistance.[1] - **Medicare Part D/Advantage**: Eligible if not receiving LIS/Extra Help, but proof of LIS denial is required for those under 150% FPL (age 65+).[1][6] - **Medicaid/Government programs**: Limited eligibility; apply for those first and provide denial proof.[5] If your insurance changes, notify the foundation immediately, as it may affect eligibility.[6] ## Step-by-Step Application Process Applying is straightforward but requires complete documentation. Use the official enrollment form from www.patientassistance.bayer.us.[1][2] 1. **Download and Complete the Form**: Get the latest application (e.g., PAF-111-US-0186). Fill out the Patient Information Section (pages 2-5) with your details, household income, insurance info, and caregiver authorization if applicable. A caregiver can assist.[1][2] 2. **Have Your Doctor Complete Their Section**: Your healthcare provider (HCP) must fill out and sign page 6, including your prescription for Stivarga.[2] 3. **Gather Required Documents**: - **Proof of residency** (e.g., utility bill, driver's license).[1] - **Proof of income** (e.g., tax returns, W-2s, pay stubs).[2][5] - **Prescription** from your doctor.[1] - Denials from government programs if applicable.[1][5] Use the checklist on page 7 to ensure everything is included.[2] 4. **Submit the Application**: - **Mail**: Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255.[1][2] - **Fax**: 1-866-575-6568.[1][2] - **Online option**: Some patients/HCPs can enroll via https://hubconnect.mckesson.com/e4iyhje6xp9780bayer.[5] Make a copy for your records.[2] 5. **Contact for Help**: Call 1-866-228-7723 (Monday-Friday, 9 AM-6 PM EST) with questions.[1][5] ## Timeline and Delivery Applications are typically reviewed within **2 business days**, but incomplete submissions may delay processing.[7] Once approved, medication is **shipped directly to your home** for up to one year.[4][5][6] For Medicare Part D patients, the benefit year starts January 1.[5][6] **Reauthorization is required** annually—your doctor must resubmit before your supply ends.[1][6] ## Alternatives if Denied or Ineligible - **Appeal**: Contact the foundation at 1-866-228-7723 to discuss missing info or resubmit.[7] - **Other Bayer Programs**: Check copay assistance for commercially insured patients (not for Medicare/Medicaid).[6] - **Government Aid**: Apply for Extra Help (LIS), state programs, or 340B clinics.[1][5] - **General Resources**: NeedyMeds.org, RxAssist.org, or PAN Foundation for cancer drugs. - **No biosimilars** for Stivarga are available.[program details] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2025. Program details can change; always verify with Bayer at www.patientassistance.bayer.us or 1-866-228-7723. Eligibility is not guaranteed. Consult your doctor for medical advice. Bayer US Patient Assistance Foundation is a separate charitable entity from Bayer pharmaceuticals. Not affiliated with government programs. Word count: 1028.

Program information last verified: March 30, 2026