Teflaro

Indicated For

MRSA ABSSSI, CAP

About This Medication

# myAbbVie Assist: Critical Care Patient Guide: How to Get Teflaro (ceftaroline fosamil) at Low or No Cost Teflaro (ceftaroline fosamil) is a prescription antibiotic used to treat serious bacterial infections, and the **myAbbVie Assist: Critical Care** program from **AbbVie** helps eligible patients get it for **free** if they have limited or no insurance and meet income guidelines[1][2]. This guide explains everything you need to know in simple terms, from eligibility to applying and what to do if you're denied. ## About Teflaro (ceftaroline fosamil) **Teflaro** is an intravenous (IV) antibiotic that fights tough bacteria causing conditions like skin infections, pneumonia, or bloodstream infections in adults and children[1]. It's often used in hospitals or outpatient settings for serious cases where other antibiotics fail. As a cephalosporin-class drug, it's administered by a healthcare professional and can be expensive without assistance—costs can exceed thousands per treatment course. The myAbbVie Assist: Critical Care program covers Teflaro for qualifying patients, shipping it directly to you at no cost, including no co-pays or shipping fees[1][2]. ## Who Qualifies for myAbbVie Assist: Critical Care? This program is for **U.S. residents** treated outpatient by a licensed healthcare provider (HCP) who prescribe AbbVie medicines like Teflaro[1][7]. Key requirements include: - **Limited or no health insurance** (details below). - **Household income at or below 400% of the Federal Poverty Level (FPL)**, adjusted for family size and special circumstances like high medical expenses[1]. - **Demonstrated financial need**—the program reviews income, insurance, and out-of-pocket costs case-by-case[7][8]. Participation is **free**; no fees are charged[1][2]. The program can change or end without notice, and it's not an obligation for AbbVie to provide aid[1]. ## Income Eligibility Breakdown Eligibility hinges on **annual household income ≤400% FPL**. Use the table below for 2026 guidelines (FPL updates yearly; check HHS.gov for exact figures). The program considers your full household, including dependents, and may make exceptions for high medical costs. | Household Size | 100% FPL (approx.) | 400% FPL Threshold (approx.) | |----------------|---------------------|------------------------------| | 1 (Individual) | $15,060 | $60,240 | | 2 (Couple) | $20,440 | $81,760 | | 3 | $25,820 | $103,280 | | 4 | $31,200 | $124,800 | | +1 per member | +$5,380 | +$21,520 | *Notes: Figures are estimates based on 2025 FPL adjusted for inflation; verify current FPL at ASPE.hhs.gov. Provide proof like tax returns[1][6].* ## Insurance Requirements The program targets those with **limited or no health insurance**[2][5]. **Uninsured** patients qualify easily. **Underinsured** (high co-pays/deductibles) may qualify based on financial review[7]. - **Medicare Part D patients**: Possible on exception; if approved, you get 1-year supply but **cannot** buy under Medicare, seek reimbursement, or get TrOOP credit. Program notifies your plan[1]. - **Commercial insurance with alternate funding**: Often ineligible[6]. - Notify the program if insurance/finances change[1]. ## Step-by-Step Application Process Applying is **free and straightforward** via phone, mail, fax, or online (though Critical Care may use paper forms)[1][6]. Your HCP must sign. 1. **Contact the program**: Call **(800) 222-6885** (Mon-Fri) or download the Critical Care application PDF[1][7]. 2. **Gather documents**: - Completed form signed by your HCP. - **Proof of income** (tax return, pay stubs, W-2s). - **Proof of residency** (utility bill, lease). - **Proof of insurance status** (cards or denial letter)[1]. 3. **Submit**: Fax to 1-866-483-1305, mail to PO Box 270, Somerville, NJ 08876, or follow online prompts if available[1][6][7]. Program may pull credit for income verification; upload extras if needed[6]. 4. **HCP involvement**: They provide prescription details[6]. 5. **Wait for decision**: Program reviews and notifies you/HCP[1]. **Multiple methods** available; phone support helps[1]. ## Timeline and Delivery Processing time varies (not specified; typically weeks)[1]. You'll get updates via text/email if online[6]. If approved, **medication ships free to your home** (or doctor's office in some cases)[1][2][7]. **Reauthorization required** annually or per prescription—your HCP refills via the program[1]. Schedule deliveries online if enrolled[6]. ## Alternatives if Denied - **Appeal**: Call (800) 222-6885 to discuss; provide more docs[1]. - **Other programs**: Check NeedyMeds, RxAssist, or PAN Foundation for antibiotics[8]. Hospital financial aid or 340B clinics may help. - **Generic options**: No biosimilars for Teflaro; discuss alternatives like vancomycin with your doctor. - **State programs**: Medicaid expansion or charity care. - Reapply if circumstances change[1]. ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility determined by myAbbVie Assist solely[1]. Rules can change; verify at abbvie.com or by calling (800) 222-6885. Consult your HCP for treatment. AbbVie not liable for program services. Do not seek reimbursement for free meds[1]. (Word count: 1028)

Program information last verified: March 30, 2026