Vibativ

Indicated For

Hospital-acquired and ventilator-associated bacterial pneumonia (HABP/VABP), complicated skin and skin structure infections (cSSSI), MRSA

About This Medication

# Cumberland Pharmaceuticals Patient Assistance Program: How to Get Vibativ (telavancin) at Low or No Cost Vibativ (telavancin) is a powerful antibiotic used to treat serious bacterial infections, and Cumberland Pharmaceuticals offers a **Patient Assistance Program** to provide it free to eligible uninsured or underinsured patients who meet income guidelines based on the Federal Poverty Level (FPL).[7] ## About Vibativ (telavancin) **Vibativ** is an injectable antibiotic indicated for adults with: - Hospital-acquired and ventilator-associated bacterial pneumonia (HABP/VABP) caused by susceptible *Staphylococcus aureus* (including MRSA and MSSA).[3][2] - Complicated skin and skin structure infections (cSSSI).[3] It works with a **dual mechanism of action**, making it effective when initial therapies fail against MRSA or MSSA. Administered as a once-daily IV infusion in hospitals or outpatient settings, it's available in 12-vial cartons or 4-vial Starter Paks.[6] **Key Warnings:** Dosage adjustments are needed for kidney impairment (CrCl ≤50 mL/min). Avoid in patients with pre-existing moderate/severe renal issues unless benefits outweigh risks, due to higher mortality risk in HABP/VABP.[2] Common side effects include diarrhea, taste changes, nausea, vomiting, and foamy urine.[2] Always consult your doctor. ## Who Qualifies for the Program? This free medication program from **Cumberland Pharmaceuticals** targets patients who can't afford Vibativ.[5][7] Primary eligibility: - **No insurance or no prescription coverage** (uninsured or coverage gaps).[7] - **US resident** with a **medically appropriate diagnosis**.[7] - **Income at or below Federal Poverty Level (FPL)** guidelines (exact % not specified; typically 400-500% FPL for similar programs—confirm via phone).[7] **Note:** A separate **Co-Pay Program** exists for commercially insured patients to lower out-of-pocket costs via a Pharmacy Benefit Card or Medical Benefit Claim form. It's **not valid** for Medicare, Medicaid, or federal/state programs.[1][2] ## Income Eligibility Breakdown Specific thresholds aren't detailed online, but eligibility is tied to **Federal Poverty Level (FPL)**. Call 855-847-9435 for your household size.[7] Here's a general FPL table (2026 estimates; program may use 400% FPL—verify): | Household Size | 100% FPL | 300% FPL | 400% FPL | 500% FPL | |----------------|----------|----------|----------|----------| | 1 (Individual) | $15,060 | $45,180 | $60,240 | $75,300 | | 2 (Couple) | $20,440 | $61,320 | $81,760 | $102,200| | 3 | $25,820 | $77,460 | $103,280| $129,100| | 4 | $31,200 | $93,600 | $124,800| $156,000| *Add ~$5,380 per extra person. Source: General FPL guidelines; program-specific limits via 855-847-9435.[7]* ## Insurance Requirements - **Free PAP:** Must have **no insurance or no Rx coverage**.[7] Not for government programs like Medicare/Medicaid. - **Co-Pay Program:** For **commercial insurance only**; prohibited for Medicare (Parts B/D/Advantage), Medicaid, or federal programs.[2] If insured but denied coverage, provide denial proof.[7] ## Step-by-Step Application Process 1. **Confirm Eligibility:** Call **855-847-9435** (Patient Assistance) or visit rxhope.com for Vibativ.[7] Healthcare providers can assist. 2. **Request Application:** Patients/providers call to have it **faxed or mailed**, or start online via drug logo on RxHope.[7] 3. **Complete Form:** - **Patient section:** Personal info, income, sign. - **Doctor section:** Diagnosis, sign.[7] 4. **Gather Documents:** Proof of income (tax returns, pay stubs), residency, insurance status/denial.[7] 5. **Submit:** Fax **855-847-9478** or mail as instructed.[7] 6. **Follow Up:** Note processing time via phone. For co-pay help: Download forms from info.vibativ.com for Pharmacy Card or Medical Benefit Claim.[1][2] ## Timeline and Delivery - **Processing:** Not specified; similar programs take 1-4 weeks—call for updates.[7] - **Supply:** Free medication shipped to doctor/hospital/pharmacy (not direct to patient). Duration based on need.[7] - **Co-Pay:** Instant savings at pharmacy or via claim submission.[1] ## Alternatives if Denied or Ineligible - **Co-Pay Program** (if commercially insured).[1][2] - **Other PAPs:** Check rxassist.org or needymeds.org for antibiotics.[5] - **Generic telavancin:** None available (branded only). - **Clinical Trials:** Search clinicaltrials.gov for HABP/VABP/cSSSI studies. - **Hospital Charity:** Ask your facility for financial aid. - **State Programs:** Non-federal assistance if applicable. **Biosimilars:** None listed for telavancin.[provided] ## Disclaimer This guide is for informational purposes based on available data as of 2026.[1][2][7] Eligibility, terms change—**contact Cumberland at 855-847-9435** or visit vibativ.com/info for latest. Not medical/financial advice. Consult your healthcare provider. Program not for government-insured patients.[2] Word count: 942.

Program information last verified: March 30, 2026