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Autoimmune

Trexall

Generic: methotrexate

Manufacturer: Teva Pharmaceuticals  ·  Program: Teva Cares Foundation

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Eligibility Criteria

Insurance Requirement

Patients who meet certain insurance and income criteria; no cost for qualifying US patients

Residency

United States

Income Threshold

Up to 300% FPL

Individual Income Limit

$43,740/year

Income limits for generic drugs vary; call to verify

Program Information

Processing Time

2–3 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Indicated For

RA, PsA, SLE

About This Medication

# Teva Cares Foundation Patient Guide: How to Get Trexall (methotrexate) at Low or No Cost Trexall (methotrexate) is a prescription medication used to treat conditions like rheumatoid arthritis, psoriasis, and certain cancers, and the **Teva Cares Foundation** program offers it **at no cost** to qualifying uninsured or underinsured US patients who meet specific income and insurance criteria.[1][3][4] This guide explains everything you need to know about applying, from eligibility to next steps, in simple terms. It's designed for patients like you who may be facing high medication costs. ## About Trexall (methotrexate) **Trexall** is the brand name for methotrexate tablets made by Teva Pharmaceuticals. Methotrexate is a versatile drug that works by slowing down cell growth and suppressing the immune system. Doctors prescribe it for: - **Rheumatoid arthritis** (RA): Helps reduce joint pain, swelling, and stiffness. - **Psoriasis**: Controls severe skin plaques. - **Certain cancers**: Such as leukemia or lymphoma, often in combination with other treatments. - **Other uses**: Ectopic pregnancy or preventing graft-vs-host disease after transplants. It's typically taken once weekly by mouth, but your doctor will determine the right dose based on your condition. Common side effects include nausea, fatigue, mouth sores, and hair thinning—always follow your doctor's instructions and get regular blood tests to monitor for serious effects like liver or lung issues.[1][2] Trexall is one of the medicines available through the Teva Cares Foundation, helping thousands of patients access Teva treatments without cost barriers.[1][2] ## Who Qualifies for Teva Cares Foundation? To get Trexall for free, you must meet these key requirements: - Be a **US resident** (including Puerto Rico).[4][5] - Have a valid prescription for Trexall from a US-licensed doctor.[3][4] - Meet **income guidelines** (typically at or below **300% of the Federal Poverty Level**—exact details on the website).[4][5] - Have **no or limited prescription drug coverage** (uninsured, underinsured; Medicare patients generally cannot have Part D).[1][4][5] The program is for patients without access to private or public insurance benefits that cover the medication. It's not for those whose insurance requires applying here as a prerequisite.[1][4] **Important**: Each application is reviewed case-by-case. The program is free—no fees for applying, enrolling, or shipping meds.[1][3] ## Income Eligibility Breakdown Income limits are based on household size and follow federal poverty level (FPL) guidelines, often up to **300% FPL**. Here's a sample table from program documents (note: these are example figures from prior years; **check the current Teva Cares website for 2026 updates** as they adjust annually).[3][4] | Household Size | Max Yearly Income (Example) | |----------------|-----------------------------| | 1 person | $34,470 | | 2 people | $46,530 | | 3 people | $58,590 | | 4 people | $70,650 | | 5 people | $82,710 | *Add about $12,000 per additional person.* Use gross (pre-tax) household income. Proof required, like tax returns or pay stubs.[3] Visit **tevacares.org** for the latest table and full criteria.[1] ## Insurance Requirements - **Uninsured or underinsured**: No prescription drug benefits through private/public insurance, Medicare Part D, Medicaid, or similar.[1][4][5] - Medicare patients: Typically ineligible if enrolled in Part D.[5] - No employer or plan that mandates applying to this program.[1] If you have some coverage but still face high costs, you may qualify—call to confirm.[2] ## Step-by-Step Application Process Applying is straightforward and free. Multiple methods available.[3][5] 1. **Check eligibility**: Review medicines list and criteria on tevacares.org.[1] 2. **Download or start application**: Get the form online at tevacaresportal.org, or call for help.[5][3] 3. **Complete your sections**: Patient info, finances, insurance, shipping address. Sign consent.[3] 4. **Gather proof of income**: Tax return, W-2, pay stubs, SSI/SSDI award letter, etc.[3] 5. **Doctor completes their part**: Prescription details, patient confirmation. They sign too.[3][4] 6. **Submit**: - **Online**: tevacaresportal.org[5] - **Fax**: 1-877-438-4404[3][5] - **Mail**: Teva Cares Foundation, PO Box 501827, San Diego, CA 92150 (or current address on form)[5] 7. **Call for support**: 877-237-4881 (Mon-Fri, 9AM-8PM ET) or 888-838-2872.[1][2][3] Your doctor can help with the form. Approval notification comes by mail.[4] ## Timeline and Delivery - **Processing**: Varies; expect weeks for review. Call for status.[4] - **Approval duration**: Up to **12 months** of free medication.[4][5] - **Delivery**: Shipped **free to your home** (or doctor's office if specified).[1][4] - **Refills**: Annual renewal process; reapply or get renewal form.[4] Shipments are direct from the program—no third-party fees.[1] ## Alternatives if Denied or Ineligible - **Other Teva programs**: Check tevausa.com for insured patient options.[2] - **General resources**: NeedyMeds, RxAssist, or PAN Foundation. - **Generic methotrexate**: Often low-cost at pharmacies ($10-50/month via GoodRx). - **State programs**: Medicaid, 340B clinics, or manufacturer copay cards. - **Contact Teva**: 888-TEVA USA for tailored help.[2] Don't give up—many options exist beyond this program. ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, income limits, and processes can change—**always verify on tevacares.org or by calling 877-237-4881**.[1][3] Not medical or legal advice. Consult your doctor for treatment questions. Teva Cares Foundation is independent from Teva Pharmaceuticals.[1] Word count: 1028.

Program information last verified: March 30, 2026

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