TEFLARO

Indicated For

ABSSSI, CABP, MRSA, CAP

About This Medication

# myAbbVie Assist Patient Guide: How to Get TEFLARO (ceftaroline fosamil) at Low or No Cost TEFLARO (ceftaroline fosamil) is an antibiotic used to treat serious bacterial infections, and the **myAbbVie Assist** program from AbbVie helps eligible patients get it for **free** if they qualify based on income, insurance status, and residency. This guide explains everything you need to know in simple terms, from eligibility to applying and what to do next. ## About TEFLARO (ceftaroline fosamil) **TEFLARO** is a prescription intravenous (IV) antibiotic that fights tough bacteria causing infections like skin infections, pneumonia, or bloodstream infections in adults and children. It's often used in hospitals for serious cases where other antibiotics might not work. Your doctor decides if it's right for you based on your infection and test results. Always follow your healthcare provider's instructions, as TEFLARO requires IV administration, usually by a professional. Common side effects include diarrhea, nausea, rash, and low blood cell counts. Serious risks can include allergic reactions or **C. difficile** diarrhea. Talk to your doctor about benefits versus risks. ## Who Qualifies for myAbbVie Assist? The **myAbbVie Assist: Critical Care** program (for TEFLARO, Dalvance, and Avycaz) is for **qualifying patients** who live in the **US or Puerto Rico**, have **limited or no insurance**, and meet financial criteria. It's **needs-based**, considering family size and special circumstances on a **case-by-case basis**. You may qualify if: - You're **uninsured**, **underinsured**, or on **Medicare/Medicaid** (with exceptions). - Your income shows financial need (exact thresholds not publicly listed; program assesses electronically or via documents like tax returns). - You can't afford your medicine. **Important:** Medicare patients **cannot buy TEFLARO under their Medicare plan** while enrolled and must agree not to seek reimbursement or TrOOP credit. The program notifies your Medicare plan if approved. ## Income Eligibility Breakdown Specific income limits (like % of Federal Poverty Level) aren't detailed publicly for this critical care program—eligibility is determined individually. The general myAbbVie Assist often uses **below 400-500% FPL**, but Critical Care considers family size and circumstances. Here's a general guide based on program practices (confirm with AbbVie): | Household Size | Estimated Max Annual Income (Example at 400% FPL, 2026)* | |----------------|---------------------------------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *These are illustrative based on standard PAPs; **call (800) 222-6885** for your exact eligibility. Program may approve above these if special needs exist. Provide tax returns if electronic check fails. ## Insurance Requirements - **Uninsured or underinsured**: Primary group. - **Medicare Part D**: Eligible on exception, but **no Medicare purchases** during enrollment (1-year term). Program coordinates with your plan. - **Private insurance**: May qualify if high copays/out-of-pocket costs. - **Medicaid**: Possible, but check exceptions. Upload insurance cards (front/back). Program won't cover if you seek reimbursement. ## Step-by-Step Application Process Applying is **free** and uses **multiple methods**: online, phone, fax, or mail. Expect **multiple steps** involving you and your doctor. 1. **Check Eligibility**: Call **(800) 222-6885** (Mon-Fri) or visit AbbVie's site to confirm. 2. **Gather Documents**: - **Proof of income** (tax return, pay stubs, etc.). - **Proof of residency** (utility bill, etc.). - **Prescription** from your doctor. - **Insurance info** (cards if applicable). - Photo ID sometimes needed. 3. **Choose Method**: - **Online**: Go to myAbbVie Assist site, create account, enter info, upload docs. Doctor submits separately. - **Download Form**: Get Critical Care application PDF, fill out, have doctor sign. - **Phone**: Call (800) 222-6885 for help starting. 4. **Doctor's Role**: Your healthcare provider completes their section, signs, and faxes/mails to **866-483-1305** or **PO Box 270, Somerville, NJ 08876**. 5. **Submit**: Fax/mail your part. Sign terms, HIPAA release, and Medicare agreements if applicable. 6. **Track**: Sign up for email/text updates. Program reviews and notifies you/doctor. **Tip**: Have electronic copies ready for faster processing. ## Timeline and Delivery - **Processing**: Varies; days to weeks. No fixed time listed—call for status. - **Approval Notification**: Via email/phone to you and doctor. - **Delivery**: **Free shipping** to your **home** or **doctor's office**. No copays. - **Refills**: **Reauthorization required**. Schedule via online portal based on prescription. Notify if insurance/income changes. ## Alternatives if Denied or Ineligible - **Ask for Review**: Call (800) 222-6885 to discuss reasons and submit more docs. - **Other Programs**: Check RxAssist.org for TEFLARO options or general PAPs. AbbVie has other support. - **Hospital Assistance**: Many hospitals have indigent care funds. - **State Programs**: Search your state's pharmaceutical aid. - **Manufacturer Copay Cards**: Not for uninsured/Medicare, but check AbbVie Access. - **Generic Alternatives**: No biosimilars listed; discuss cheaper antibiotics with doctor. If denied, reapply if circumstances change. ## Important Disclaimer This guide is for informational purposes based on publicly available data as of 2026. **myAbbVie Assist** can change rules, medications, or discontinue without notice. **Always verify with AbbVie at (800) 222-6885** or their site. Not medical/financial advice—consult your doctor and advisor. AbbVie determines eligibility solely; approval not guaranteed. Free medicine only for qualifiers; no fees collected.

Program information last verified: March 30, 2026