Tofidence

Indicated For

Rheumatoid Arthritis, Giant Cell Arteritis, Polyarticular Juvenile Idiopathic Arthritis, Systemic Juvenile Idiopathic Arthritis

About This Medication

# Organon Patient Assistance Program Guide: How to Get TOFIDENCE at Low or No Cost ## About TOFIDENCE (Tocilizumab-bavi) TOFIDENCE is a prescription biologic medication administered by intravenous infusion. It is used to treat various inflammatory conditions when prescribed by a licensed healthcare provider. Like all medications, TOFIDENCE can have side effects and requires careful medical supervision. Before starting TOFIDENCE, discuss with your doctor whether this medication is right for you, including any risks associated with serious infections. ## Who Qualifies for the Organon Patient Assistance Program The Organon Patient Assistance Program provides TOFIDENCE at no cost to eligible patients who cannot afford their medication. You may qualify if you meet ALL three of these conditions: 1. **You are a U.S. resident** with a valid prescription for TOFIDENCE from a U.S. licensed healthcare provider 2. **You have no insurance or other coverage** for prescription medications 3. **You cannot afford to pay** for your medicine Additionally, your household income must fall within these limits: | Household Type | Maximum Annual Income | |---|---| | Individual | $78,250 | | Couple | $105,750 | | Family of 4 | $160,750 | These income thresholds are designed to help patients with limited financial resources access needed medications. ## Insurance Requirements The Organon Patient Assistance Program is specifically for **uninsured patients**. If you have any form of insurance or prescription drug coverage, you are not eligible for this program. However, Organon offers a separate **Co-pay Assistance Program** if you have private health insurance. Under this program, eligible patients with commercial insurance may pay as little as $0 per infusion, with a maximum benefit of $10,000 per calendar year. This program is not available to patients covered under government programs such as Medicare, Medicaid, Medicare Advantage, or TRICARE. ## How to Apply: Step-by-Step Process **Step 1: Gather Your Information** Before applying, have the following ready: - Your prescription for TOFIDENCE from your healthcare provider - Proof of U.S. residency - Documentation of your household income (pay stubs, tax returns, or benefit statements) - Information about any household members and their income **Step 2: Complete the Enrollment Form** Work with your healthcare provider's office to download and complete the official Organon Patient Assistance Program enrollment form. Your provider can help guide you through this process. **Step 3: Submit Your Application** Submit the completed enrollment form through the program. Your healthcare provider's office can assist with submission. **Step 4: Program Review** A program representative will contact both your healthcare provider's office and you to verify your information and determine your eligibility. **Step 5: Receive Your Medication** Once approved, eligible patients receive TOFIDENCE at no charge. ## Contact Information **Phone:** 855-635-9581 **Hours:** 8:30 AM – 8:00 PM ET, Monday through Friday **Website:** OrganonHelps.com Call the program representatives with any questions about eligibility, the application process, or your status. ## Timeline and Medication Delivery While specific processing times are not publicly detailed, a program representative will contact you and your healthcare provider after you submit your application. Once approved, you will receive TOFIDENCE at no cost. A single application can provide up to one year of medication. ## Program Duration and Reapplication Each approved application provides medication for up to one year. You may reapply as many times as needed to continue receiving assistance. When your current approval period is ending, contact the program to reapply. ## What If Your Application Is Denied? If you are denied enrollment in the Organon Patient Assistance Program, consider these alternatives: - **Check eligibility for the Co-pay Assistance Program** if you have private insurance - **Explore state pharmaceutical assistance programs** through your state health department - **Ask your healthcare provider** about other resources or lower-cost alternatives - **Contact 855-635-9581** to understand why you were denied and whether you can reapply ## Biosimilar Alternatives If TOFIDENCE is not available or you need alternatives, ask your healthcare provider about other tocilizumab products, including: - Tyenne (tocilizumab-aazg) - Actemra (tocilizumab) These medications may have their own assistance programs available. ## Important Disclaimer This guide provides general information about the Organon Patient Assistance Program for TOFIDENCE. Program eligibility, benefits, and terms are subject to change. For the most current and complete information, visit OrganonHelps.com or call 855-635-9581. Always consult with your healthcare provider about whether TOFIDENCE is appropriate for your medical condition. This program is not insurance and does not replace medical advice from your doctor.

Program information last verified: March 30, 2026