Trodelvy

Indicated For

metastatic triple-negative breast cancer, urothelial cancer

About This Medication

# Gilead Oncology Support Patient Assistance Program: How to Get Trodelvy (sacituzumab govitecan-hziy) at Low or No Cost Trodelvy (sacituzumab govitecan-hziy) is a prescription medication used to treat certain types of advanced breast cancer, and the **Gilead Oncology Support patient assistance program** offers it **at no cost** to eligible uninsured or underinsured patients who meet income and other criteria.[1][2][3] ## About Trodelvy **Trodelvy** is an antibody-drug conjugate approved for adults with: - Unresectable locally advanced or metastatic triple-negative breast cancer (mTNBC) who have received two or more prior systemic therapies, at least one for metastatic disease.[6] - Unresectable locally advanced or metastatic hormone receptor (HR)-positive, HER2-negative breast cancer who have received endocrine-based therapy and at least two additional systemic therapies in the metastatic setting.[6] It works by targeting cancer cells with a chemotherapy agent called SN-38, delivered via a monoclonal antibody. Administered intravenously by a healthcare provider, typically 10 mg/kg on days 1 and 8 of a 21-day cycle. Common side effects include low white blood cell counts, diarrhea, nausea, and fatigue. Always discuss risks and benefits with your doctor.[6] ## Who Qualifies for the Program? The **Gilead Oncology Support patient assistance program** provides **Trodelvy free of charge** to **uninsured or underinsured patients** who: - Are legal U.S. residents. - Meet **income requirements** (specific Federal Poverty Level (FPL) percentage not publicly detailed; program evaluates on a case-by-case basis).[3][9] - Meet additional eligibility criteria (e.g., no government insurance coverage for the medication).[1][2][3] **Note**: This guide focuses on the free medication program for uninsured/underinsured. Commercially insured patients may qualify for the separate Gilead Oncology Co-Pay Program (up to $25,000 annual savings, but excludes government insurance).[2][3][5] ## Income Eligibility Breakdown Exact income thresholds (e.g., % of FPL) are not publicly specified and vary; call (844) 876-3358 for personalized assessment.[1][3] Generally, eligibility targets low-income patients. Here's a general U.S. FPL reference table for context (2026 guidelines; program may use up to 400-500% FPL or similar for underinsured—confirm with program): | Household Size | 100% FPL | 200% FPL | 400% FPL | |---------------|----------|----------|----------| | 1 (Individual) | $15,060 | $30,120 | $60,240 | | 2 (Couple) | $20,440 | $40,880 | $81,760 | | 3 | $25,820 | $51,640 | $103,280| | 4 | $31,200 | $62,400 | $124,800| *Add ~$5,380 per additional person for FPL estimates. Program notes: 'Uninsured or underinsured patients who meet income requirements and certain additional eligibility criteria.'[Provided Data][3] Contact program for exact thresholds.[1] ## Insurance Requirements - **Uninsured**: Fully eligible if income/other criteria met; Trodelvy provided free.[2][5] - **Underinsured**: Eligible if private/commercial insurance doesn't cover Trodelvy fully and income qualifies (not government programs).[3] - **Not eligible**: Medicare, Medicaid, TRICARE, VA, or other federal/state programs—co-pay program also excludes these.[2][3][5][7] Third-party referrals available for government-insured patients.[3] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Discuss with your doctor; call **(844) 876-3358** (Mon-Fri, 9 a.m.-7 p.m. ET) to speak with a program specialist.[1][5] 2. **Gather Documents**: Complete **Enrollment Form** (available via phone/program site); may need proof of income (e.g., tax returns, pay stubs), residency, and prescriber info. Physician signature required.[3][9] 3. **Submit Application**: **Multiple methods**—mail, fax (e.g., 1-833-851-4344), or phone assistance. Doctor's office often handles.[9][Provided Data] 4. **Approval Wait**: Processing time not specified; expect 1-2 weeks typically—call for status.[1] 5. **Receive Medication**: **Shipped to patient or physician's office** free of charge if approved.[Provided Data][2] **Tip**: Your oncology team can assist with prior authorizations/appeals if needed.[2][5] ## Timeline and Delivery - **Processing**: Varies; inquire via phone for updates.[1] - **Delivery**: Direct ship to you or doctor's office—no cost.[Provided Data] - **Reauthorization**: **Required** periodically (e.g., annually or per treatment course)—resubmit form.[Provided Data] - **Support**: Live help Mon-Fri 9 a.m.-7 p.m. ET.[1][5] ## Alternatives if Denied or Ineligible - **Commercially Insured**: Gilead Oncology Co-Pay Program—$0 out-of-pocket up to $25,000/year for Trodelvy (excludes office visits).[2][3] - **Government Insurance**: Third-party organizations (e.g., independent charities)—program provides referrals.[3][5] - **Other Options**: Patient Access Network (PAN) Foundation, HealthWell Foundation, or state programs—ask your doctor or call 1-844-876-3358.[3] - **No Biosimilars**: None available.[Provided Data] - **Appeal**: Work with physician for prior auth/appeals.[2] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026.[1][2][3] Program details, eligibility, and availability **may change**—always verify with Gilead Oncology Support at (844) 876-3358 or www.gileadoncologysupport.com. Not health/insurance advice. Consult your healthcare provider. Gilead may discontinue support anytime. Terms apply.[2][5] (Word count: 942)

Program information last verified: March 25, 2026