SUSTOL

Indicated For

Chemotherapy-induced nausea and vomiting (CINV)

About This Medication

# Heron Connect Patient Assistance Program Patient Guide: How to Get SUSTOL (granisetron) at Low or No Cost SUSTOL (granisetron) is an extended-release injection used to prevent nausea and vomiting caused by certain chemotherapy treatments, specifically moderate or highly emetogenic chemotherapy (MEC or AC combinations). The **Heron Connect Patient Assistance Program (PAP)** from Heron Therapeutics helps eligible patients with financial hardship get SUSTOL at no cost.[1][8] ## Who Qualifies for the Program? This program targets **patients experiencing financial hardship** who are uninsured or underinsured. Specific income thresholds, such as Federal Poverty Level (FPL) percentages, are not publicly disclosed in program materials—eligibility is determined case-by-case based on financial need.[1][6][8] Heron Therapeutics reviews applications to assess hardship, considering factors like lack of insurance coverage for prescription drugs or inability to afford the medication. **Key eligibility notes:** - Must have a valid prescription for SUSTOL from your doctor. - Primarily for those without adequate insurance coverage, including no Medicare, Medicaid, or other public/private plans that cover the drug.[6] - Program supply depends on availability, so apply early.[6] If you have commercial insurance, check the separate **Copay Assistance Program** for $0 out-of-pocket costs (after deductible) or up to $200 deductible help per treatment—but this guide focuses on the PAP for those in greater financial need.[1][2][8] ## About SUSTOL **SUSTOL** is the first and only 5-HT3 receptor antagonist with extended-release technology, providing up to 5 days of protection against **chemotherapy-induced nausea and vomiting (CINV)**. It's injected under the skin by a healthcare provider before chemotherapy to block nausea signals in the body. Always discuss with your doctor if it's right for you, and review the full Prescribing Information for safety details.[9] ## Income Eligibility Breakdown Detailed income limits are not specified publicly; the program evaluates **financial hardship** individually. Contact Heron Connect for a personalized assessment. Here's a general overview based on similar programs (note: not official Heron thresholds): | Household Size | Estimated Threshold Example (e.g., 400-500% FPL)* | Notes | |---------------|---------------------------------------------------|-------| | Individual | Not disclosed | Case-by-case review[1] | | Couple | Not disclosed | Financial hardship key[8] | | Family of 3 | Not disclosed | Proof of need required | | Family of 4+ | Not disclosed | Call for details | *Examples for illustration; Heron does not publish exact FPL percentages. Program notes emphasize flexibility for true hardship cases.[1] Always verify directly. ## Insurance Requirements The PAP is for **uninsured or underinsured patients** facing financial hardship. You certify no prescription drug coverage under Medicare, Medicaid, or other plans—or that coverage doesn't help with SUSTOL costs.[6] If insured commercially, explore copay help first. Heron Connect verifies benefits via the enrollment form.[1][6] ## Step-by-Step Application Process 1. **Talk to your doctor:** Get a prescription for SUSTOL. Your doctor or practice must help enroll you, as they submit the application.[1][8] 2. **Download the form:** Get the **Insurance Verification and Program Enrollment Form** from heronconnect.com (under Resources).[3][6] 3. **Complete the form:** Fill out patient details (name, address, DOB, etc.), select the PAP option, and have your doctor sign. Include patient facesheet if needed.[4][6] 4. **Gather documents:** Attach the **prescription for SUSTOL**. No other proofs listed, but be ready for financial hardship details if requested.[1][8] 5. **Fax it in:** Send to **1-844-504-8652**. (Note: Program details specify fax; phone support at (844) 437-6611, 8:30am-5pm ET, M-F.)[1][4][5] 6. **Wait for review:** Heron Connect processes in **2 business days** typically. They'll contact your doctor with results.[8] 7. **Receive medication:** If approved, SUSTOL ships free to your home or doctor's office.[1] **Tip:** Enroll your practice first if not already—online or via form.[1] Reimbursement Counselors offer free help with enrollment, appeals, and more.[2] ## Timeline and Delivery - **Processing:** Most approvals/denials in **2 business days**.[8] - **Delivery:** Shipped directly to patient or physician office at no cost. Track via counselors.[1][9] - **Hours:** Call (844) 437-6611 M-F, 8:30am-5pm ET for status.[5] ## Alternatives if Denied - **Copay Program:** If commercially insured, switch for $0 copay (up to limits) or cash-pay help ($150/script, max $1800/year).[4][8] - **Appeal:** Work with counselors for prior auth/appeals.[1] - **Other resources:** RxAssist.org lists Heron programs; dedicated counselors guide to state aid or generics (no biosimilars noted).[7] - **Heron Commitment:** Drug replacement if unfit/expired.[9] ## Disclaimer This guide is for informational purposes, based on publicly available Heron Connect details as of latest sources. Eligibility, terms, and availability can change—**always confirm with Heron at (844) 437-6611 or heronconnect.com**. Not medical advice; consult your doctor. Program may end or modify (e.g., copay offer expired 12/31/23 in old forms, but core PAP ongoing).[4] Heron/Lash Group handles data confidentially for enrollment only.[6] (Word count: 942)

Program information last verified: March 30, 2026