Tavalisse

Indicated For

Immune Thrombocytopenia (ITP)

About This Medication

# Rigel OneCare Patient Assistance Program Patient Guide: How to Get Tavalisse at Low or No Cost Tavalisse (fostamatinib) is a prescription medication used to treat adults with chronic immune thrombocytopenia (ITP), a condition where the immune system attacks and destroys platelets, leading to low platelet counts and increased bleeding risk. The **Rigel OneCare Patient Assistance Program (PAP)** from **Rigel Pharmaceuticals** helps eligible uninsured or underinsured patients aged 18+ access Tavalisse at no cost if household income is at or below **500% of the Federal Poverty Level (FPL)**. ## Who Qualifies for the Program? The Rigel OneCare PAP is designed for patients who struggle to afford Tavalisse due to lack of insurance or high costs. Key eligibility criteria include: - **Age**: 18 years or older. - **Residency**: U.S. resident or U.S. territory (including Puerto Rico). - **Insurance Status**: Uninsured or underinsured (not for those with Medicare, Medicaid, or other government insurance for copay help, but PAP focuses on no/low coverage). - **Income**: Household income ≤ **500% FPL**. This is needs-based—no fixed dollar amounts listed for household sizes, but it's generous (e.g., covers many middle-income families). - **Prescription**: Valid prescription for Tavalisse from a U.S. healthcare provider. **Note**: Separate Rigel OneCare programs exist, like copay assistance ($0-$15 per fill for commercial insurance, up to $25,000/year) and free drug supply (up to 60 days for coverage delays). Call to see which fits best.[1][5][7] ## About Tavalisse **Tavalisse** (fostamatinib disodium hexahydrate) is an oral tablet (100 mg or 150 mg) taken twice daily. It works by blocking a protein called SYK in the immune system, helping increase platelet counts in adults with persistent or chronic ITP who haven't responded well to other treatments like steroids, IVIG, or splenectomy. Common side effects include diarrhea, high blood pressure, nausea, and dizziness—discuss risks with your doctor. It's distributed through specialty pharmacies, and Rigel OneCare helps navigate this.[1][3] ## Income Eligibility Breakdown Eligibility hinges on household income ≤ **500% FPL**. Use the table below for 2026 estimates (FPL updates annually; confirm current via call or tavalissecopay.com). For a household of 4, 500% FPL is about $156,100—very accessible. | Household Size | 100% FPL (approx.) | 500% FPL Threshold (approx.) | |----------------|---------------------|------------------------------| | 1 | $15,060 | $75,300 | | 2 | $20,440 | $102,200 | | 3 | $25,820 | $129,100 | | 4 | $31,200 | $156,000 | | +1 person | +$5,380 | +$26,900 | *Table based on 2025 FPL trends; exact 2026 figures via HHS.gov or program. Include all household income sources. Proof required.*[5][7][9] ## Insurance Requirements - **Uninsured/Underinsured**: Primary PAP targets those without adequate coverage. No insurance needed. - **Commercial Insurance**: Qualify for copay program ($0-$15/fill) instead—not government plans. - **Medicare/Medicaid**: Ineligible for copay; check PAP for uninsured gaps. Rigel OneCare verifies coverage via benefits investigation.[1][2][5][7] ## Step-by-Step Application Process 1. **Contact Rigel OneCare**: Call **(833) 744-3562** (Mon-Fri, 8 AM-8 PM ET) or visit **tavalissecopay.com**. Case managers assess eligibility.[1][2] 2. **Gather Documents**: Prepare proof of residency (e.g., utility bill), income (tax returns, pay stubs), prescription, insurance info (if any).[4] 3. **Complete Enrollment**: Doctor/HCP fills prescription/enrollment form. Download from site or HCP portal.[4][5] 4. **Submit**: Fax to **833-397-4435** or online via tavalissecopay.com. Multiple methods available.[1][4] 5. **Follow Up**: Team confirms receipt, processes (timeline varies).[1] **Tip**: Enroll early—includes nurse navigators for adherence support.[6][7] ## Timeline and Delivery Processing time not specified—expect days to weeks; free drug supply bridges delays >5 business days (up to 60 days). Medication ships to your home or doctor's office via specialty pharmacy. Reauthorization required periodically—team reminds you.[1][5][7][10] ## Alternatives if Denied or Ineligible - **Copay Program**: Commercial insurance? $0-$15/fill.[2][7] - **Free Drug Supply**: Coverage delays—up to 60 days free.[10] - **Appeals**: Rigel helps with insurance appeals/PA.[1] - **Other Resources**: NeedyMeds, RxAssist, or PAN Foundation for ITP. Generic/biosimilars: None available.[9] - **State Programs**: Check Medicaid or local assistance. If denied, ask why and reapply with updates.[5] ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, terms change—verify with Rigel OneCare at (833) 744-3562 or tavalissecopay.com. Consult your doctor before starting Tavalisse. Program funded by Rigel Pharmaceuticals; restrictions apply. Data current as of available sources—call for latest.[1][5][7]

Program information last verified: March 30, 2026