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Neurology

Vumerity

Generic: diroximel fumarate

Manufacturer: Biogen  ·  Program: Biogen Support Services Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, underinsured, or commercially insured patients; those with federal/state government insurance (Medicare, Medicaid) may not qualify for copay assistance but may qualify for free drug assistance if they meet financial hardship criteria.

Residency

U.S. resident with valid address

Income Threshold

Up to 400% FPL

Individual Income Limit

$60,240/year

Calculated based on 400% of 2025 Federal Poverty Level; program eligibility is generally based on this threshold.

Program Information

Processing Time

7-10 business days

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Completed application form
  • Proof of household income (e.g., most recent tax return, W-2, or pay stubs)
  • Patient authorization for disclosure of health information
  • Valid prescription from a healthcare provider

Indicated For

Relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease

About This Medication

# Biogen Support Services Patient Assistance Program: Your Guide to Getting Vumerity at Low or No Cost ## Who Qualifies for the Biogen Support Services Patient Assistance Program? If you have been prescribed Vumerity (diroximel fumarate) and cannot afford it, you may qualify for free or reduced-cost medication through the **Biogen Support Services Patient Assistance Program**. This program is run directly by Biogen, the manufacturer of Vumerity. For a single-person household, the maximum annual income to qualify is **$60,240**. Patients who are uninsured, underinsured, or have commercial (private) insurance may be eligible. If you have Medicare or Medicaid, you may not qualify for copay assistance, but you could still qualify for free drug assistance if you meet financial hardship criteria. Eligibility is reviewed on a case-by-case basis, so it is worth applying even if you are unsure whether you meet every requirement. --- ## About Vumerity (diroximel fumarate) Vumerity is an oral prescription medication approved by the FDA to treat relapsing forms of multiple sclerosis (MS). This includes clinically isolated syndrome, relapsing-remitting MS, and active secondary progressive MS. It belongs to a drug class called oral fumarates and is taken by mouth, which sets it apart from many MS therapies that require injection or infusion. Vumerity is a branded specialty medication, and without insurance or assistance, the out-of-pocket cost can reach several thousand dollars per month. Because of this high price, many patients struggle to maintain consistent access to treatment, making patient assistance programs like this one an important resource. --- ## Income Eligibility: Full Breakdown The Biogen Support Services Patient Assistance Program uses income thresholds based on approximately 400% of the 2025 Federal Poverty Level. The table below shows the maximum annual household income allowed by household size: | Household Size | Maximum Annual Income | |---|---| | 1 person | $60,240 | | 2 persons | $81,760 | | 3 persons | $103,280 | | 4 persons | $124,800 | Income is typically verified using your most recent federal tax return, a W-2 form, or three months of recent pay stubs. The program looks at your total household income, not just your individual earnings, so be prepared to include income from a spouse or other household members if applicable. If your income is above these limits, you may not qualify for the free drug program. However, you may still be eligible for the Vumerity Copay Program if you have private insurance. Biogen reviews applications individually, and in some cases patients with income slightly above the threshold may be considered if they have significant medical expenses or other financial hardship factors. It is still worth contacting the program directly to discuss your situation. --- ## Insurance Requirements Explained Your insurance status plays a key role in which type of assistance you can receive: - **If you are uninsured:** You may qualify for the free drug assistance program if you meet the income requirements. Biogen will supply your Vumerity at no cost to you while you remain eligible. - **If you have Medicare Part D:** You typically do not qualify for copay assistance, as federal rules prohibit manufacturer copay programs for Medicare beneficiaries. However, you may still apply for free drug assistance under the patient assistance program if you meet the financial hardship and income criteria. - **If you have private insurance that covers less than 50% of your costs:** You may qualify as "underinsured" for the free drug program, or you may be directed to the Vumerity Copay Program, which can help reduce your out-of-pocket costs significantly. - **If you have Medicaid:** Similar to Medicare, Medicaid recipients are generally not eligible for manufacturer copay assistance. You may still apply for free drug assistance if you demonstrate financial hardship and meet income eligibility requirements. --- ## Step-by-Step: How to Apply Follow these steps to apply for the Biogen Support Services Patient Assistance Program: 1. **Gather your documents before you start.** You will need: a completed application form, proof of household income (most recent tax return, W-2, or three months of pay stubs), a signed patient authorization for disclosure of health information, and a valid prescription from your healthcare provider. 2. **Choose your application method.** You can apply online, by phone, or by fax. - **Online:** Visit [https://www.vumerity.com/en_us/home/biogen-support-services/financial-assistance.html](https://www.vumerity.com/en_us/home/biogen-support-services/financial-assistance.html) to start your application. - **By phone:** Call **(800) 456-2255** to speak with a program representative who can guide you through the process. - **By fax:** Fax your completed application and supporting documents to **(800) 843-6274**. 3. **Complete the application form fully.** Incomplete forms are a common reason for delays. Double-check that all fields are filled in and that your healthcare provider has signed the prescription. 4. **Submit your income documents.** Make sure your proof of income is legible and current. 5. **Wait for confirmation.** After submission, processing typically takes **7 to 10 business days**. A program representative may contact you or your provider if additional information is needed. 6. **Confirm your mailing address.** Approved medication is shipped directly to your home, so make sure your address on file is accurate. --- ## What to Expect: Timeline and Delivery After you submit a complete application, processing typically takes **7 to 10 business days**. You or your healthcare provider will be notified of the approval decision. If approved, your Vumerity will be **shipped directly to your home address** — you do not need to pick it up at a pharmacy or prescriber's office. Make sure someone is available to receive the shipment, as specialty medications may require a signature or specific handling conditions. Your enrollment is not permanent. You will need to **reauthorize your eligibility once per year**. Biogen will typically notify you when it is time to renew. Be prepared to resubmit updated income documents and a new prescription at that time to avoid any gap in your medication supply. --- ## Alternatives If You Don't Qualify If you do not meet the eligibility requirements for the free drug program, consider these options: 1. **Biosimilars:** There are currently no FDA-approved biosimilar alternatives to Vumerity available on the market, so this is not an option at this time. 2. **Manufacturer savings card:** If you have commercial (private) insurance, you may qualify for the **Vumerity Copay Program**, which can lower your out-of-pocket costs. Visit [https://www.vumerity.com/en_us/home/biogen-support-services/copay-program.html](https://www.vumerity.com/en_us/home/biogen-support-services/copay-program.html) for details. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states offer their own drug assistance programs, especially for residents with Medicare. Search your state's health department website to find programs available in your area. 4. **NeedyMeds.org:** This free online database at [www.needymeds.org](https://www.needymeds.org) lists hundreds of assistance programs, including disease-specific funds and state programs, that may help cover the cost of Vumerity or related MS care expenses. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Biogen. Program terms may change — verify current requirements at [https://www.vumerity.com/support](https://www.vumerity.com/support) before applying.* ---

Program information last verified: February 27, 2026

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