UDENYCA

Indicated For

neutropenia

About This Medication

# Coherus COMPLETE Patient Guide: How to Get UDENYCA at Low or No Cost UDENYCA (pegfilgrastim-cbqv) is a biosimilar to Neulasta, used to help reduce the risk of infection after chemotherapy by boosting white blood cell production. The **Coherus COMPLETE** program from **Coherus BioSciences** offers co-pay assistance for commercially insured patients and free medication through its Patient Assistance Program (PAP) for uninsured or underinsured individuals, helping make this important treatment affordable.[1][4][7] ## About UDENYCA **UDENYCA** is an injectable medication given once per chemotherapy cycle, typically the day after treatment, to prevent **neutropenia**—a dangerous drop in neutrophils, a type of white blood cell that fights infection. As a biosimilar, it has the same efficacy and safety profile as the original pegfilgrastim (Neulasta) but may be more cost-effective. It's FDA-approved for adults receiving chemotherapy drugs that can cause febrile neutropenia. Common side effects include bone pain, back pain, and fatigue, but it significantly lowers infection risk during cancer treatment.[4][7] ## Who Qualifies for Coherus COMPLETE? Coherus COMPLETE has two main tracks: **Co-Pay Assistance** for those with commercial insurance and **Patient Assistance Program (PAP)** for uninsured or underinsured patients. Qualification depends on insurance status rather than strict income limits for UDENYCA's PAP, though financial hardship is considered.[4][1] ### Co-Pay Assistance Program - **Commercial insurance** covering UDENYCA. - **Not enrolled** in Medicare, Medicaid, or any federal/state-funded programs. - Eligible patients can pay **$0 per dose**, up to **$15,000 annual benefit**. ### Patient Assistance Program (PAP) - **Uninsured** or **underinsured** (e.g., high out-of-pocket costs despite insurance). - US resident under a licensed provider. - Prescription for FDA-approved use. - Free UDENYCA provided at no cost, excluding administration fees.[4][5] **Important exclusions**: Government programs like Medicare, Medicaid, VA, TRICARE. Patients must report changes in coverage.[7][8] ## Income Eligibility Breakdown Unlike some programs, Coherus COMPLETE for UDENYCA does not list specific income thresholds or FPL percentages publicly. Eligibility focuses on insurance and financial need, with income documentation required to verify hardship for PAP. Providers or case managers may assist in assessing need.[4][10] | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Not specified | Based on financial hardship; income docs required[4] | | Couple | Not specified | No FPL limit listed for UDENYCA PAP[1] | | Family of 3 | Not specified | Credit check or docs may verify[10] | | Family of 4+ | Not specified | Focus on uninsured/underinsured status | Contact the program for personalized review, as criteria can evolve.[1] ## Insurance Requirements - **Commercial/Private Insurance**: Required for co-pay help; program covers co-pays up to limits.[1][4][7] - **Uninsured/Underinsured**: Eligible for PAP free drug.[4] - **Exclusions**: Medicare (Parts B/D/Advantage), Medicaid, VA, DoD, TRICARE, or state-funded plans. Enrollment in these voids eligibility—notify immediately if status changes.[7][8] The program covers **only UDENYCA costs**, not office visits, administration, or other expenses.[1][4] ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm UDENYCA prescription and get forms signed.[7] 2. **Visit UDENCASolutions.com or CoherusCOMPLETE.com**: Enroll online (multiple methods available).[1][7] 3. **Call for help**: (844) 483-3692 for Patient Access Specialists.[1][2] 4. **Gather documents**: - Valid **prescription** for UDENYCA. - **Proof of insurance** (or lack thereof). - **Income documentation** (e.g., tax returns, pay stubs) for PAP.[4] 5. **Submit**: Online portal, fax, mail, or phone. Providers can submit claims too.[1] 6. **Approval notification**: Via mail/email; track via hub. Multiple application methods make it flexible—online is fastest.[1] ## Timeline and Delivery Processing time varies but aim for quick turnaround; co-pay cards activate post-enrollment. Medication ships to **your home** or **physician's office**.[4] Reauthorization is **required** for refills—submit new docs periodically. Enroll within **180 days** of service for co-pay retroactive help.[7] Expect 1-2 weeks for PAP approval based on similar programs; call for status.[1] ## Alternatives if Denied - **Product Replacement Program**: After claims denial, get free replacement UDENYCA and foundation referrals.[4] - **Biosimilar Alternatives**: **Neulasta (pegfilgrastim)**—original reference drug; check its assistance programs.[ ] - **Other Options**: Independent foundations via case managers (877-260-5190), coding/billing support, or Field Reimbursement Managers.[2][4] - Appeal denial or explore state programs if not federally funded. ## Disclaimer This guide is for informational purposes based on available program details as of latest data. Coherus may change, revise, or end programs anytime without notice. Not valid where prohibited by law. Always verify eligibility directly with Coherus COMPLETE at (844) 483-3692 or UDENCASolutions.com. Consult your healthcare provider; this is not medical advice. Program covers drug only—no admin costs.[1][4][7][8]

Program information last verified: March 30, 2026