Tretten

Patient Assistance Program Application for Rare Blood Disorders Patient Guide: How to Get Tretten (catridecacog) at Low or No Cost

Tretten (catridecacog) is a recombinant coagulation factor XIII A-subunit, used to prevent bleeding episodes in patients with congenital factor XIII A-subunit deficiency, a rare blood disorder. Novo Nordisk's Patient Assistance Program (PAP) provides this medication at no charge to eligible uninsured patients with low household income, helping those who cannot afford treatment.[1][3][10]

About Tretten and Why Assistance Matters

Tretten replaces the missing or defective factor XIII in your blood, which is essential for proper clotting and preventing spontaneous bleeds. Without it, patients risk life-threatening hemorrhages, including brain bleeds. This lifelong therapy is expensive, often costing tens of thousands annually, making PAP crucial for access.[3]

Novo Nordisk's PAP targets rare blood disorders like factor XIII deficiency. It's free—no enrollment fees—and delivers a 90-day supply of Tretten upon approval, renewable annually with income verification.[1][5]

Who Qualifies?

Eligibility focuses on residency, insurance status, and income:

• US citizen or legal resident with a valid Social Security Number.[4][5][8]
• Uninsured: No private prescription coverage (HMO/PPO), Medicare Part D (with exceptions noted below), Medicaid, VA benefits, or other federal/state programs.[3][4][8][10]
• Household income at or below 300%-400% of Federal Poverty Level (FPL), varying by program document—confirm current guidelines via 1-844-NOVOSEC.[4][8]
• Prescribed Tretten for an indicated condition by a licensed provider.[3][8]

Exceptions:

• Medicare Part D patients: Eligible if spent $1,000 out-of-pocket this year (some sources say no $1,000 requirement—verify).[2][4][9]
• Medicaid-eligible: Must submit denial letter.[4][8]
• Medicare LIS applicants: Need denial.[4][8]

Income Eligibility Breakdown

Income must meet FPL thresholds based on household size. Use 400% FPL as conservative estimate (adjust per latest from Families USA).[4][8] Here's a table for 2026 (approximate; check HHS.gov for exact):

Notes: Include all income sources. Provide proof annually.[1][4][5]

Insurance Requirements

Primarily for uninsured. Cannot have active coverage. Submit denials for:

• Medicaid/VA.[4][8]
• Medicare Extra Help/LIS.[2][4]
• No reimbursement from government programs if approved.[1][5]

Co-pay program alternative for commercially insured: Up to $12,000-$15,000/year.[3]

Step-by-Step Application Process

Multiple methods: Online, download PDF, phone (1-844-NOVOSEC or 1-866-310-7549).[1][2][3]

1. Discuss with HCP: Get prescription for Tretten (90-day supply). HCP starts/completes sections.[1][5][9]
2. Fill Application: Patient/HCP complete patient info, prescriber section, certification. Sign/date.[1][4][8]
3. Gather Documents:
   • Proof of income: Tax return (1040), W-2/1099, SSA-1099, unemployment stmt, pension/interest.[4][5][8]
   • Denials: Medicaid, LIS, VA (if applicable).[4][8]
   • Govt ID, Medicare OOP proof ($1,000 if req'd).[2][4]
4. Submit:
   • Online: novocare.com/pap.html—HCP gets secure link, patient uploads docs.[2][9]
   • Download/Mail: novoMEDLINK or NovoCare PDFs to PO Box 18648, F PO Box.[1][5]
   • Fax: 1-888-868-9853 or (866)441-4190.[5][7]
5. HCP Signs: Prescription + product request form.[5][8]

Opt for SMS/phone alerts.[1][2]

Timeline and Delivery

• Processing: 2 business days if complete; delays for incompletes. Mail adds 7 days.[1][2][5][9]
• Approval Notice: Letter, phone/text if opted in.[1][2]
• Delivery: 10-14 business days (up to 21) to HCP office or home via Neovance Pharmacy (call 1-800-488-5908).[1][9]
• Enrollment: Rolling 12 months; reapply for refills (income annual).[5]

Alternatives if Denied

• Appeal: Contact program; complete missing info.[5]
• Co-pay Assistance: If commercially insured, up to $15,000/year for Tretten.[3]
• Other Resources: RxHope, RxAssist, NeedyMeds, state programs, or generic factors (none listed).[7][10]
• Biosimilars: None available.[10]
• Reapply after changes (e.g., insurance gap).[3]

Refill Process

New form per request, but income yearly. HCP/patient resubmit; 90-day supply.[5]

Disclaimer

This guide synthesizes public sources as of 2026; program details change. Verify eligibility/docs via Novo Nordisk (1-844-NOVOSEC). Not medical/financial advice—consult HCP/financial advisor. Novo reserves right to modify/cancel. No guarantee of approval; subject to availability.[1][5]

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