VYVGART

My VYVGART Path Patient Guide: How to Get VYVGART at Low or No Cost

About VYVGART

VYVGART (efgartigimod alfa-fcab) is a prescription medication used to treat generalized myasthenia gravis (gMG) in adults. It is available in two forms: VYVGART for intravenous (IV) infusion and VYVGART Hytrulo for subcutaneous (SC) injection. This medication helps reduce muscle weakness and fatigue associated with myasthenia gravis by targeting the immune system's attack on muscle receptors.

Who Qualifies for My VYVGART Path

You may be eligible for the My VYVGART Path patient assistance program if you meet these criteria:

• You have a valid prescription for VYVGART or VYVGART Hytrulo from your neurologist
• You have commercial or private insurance coverage for VYVGART
• You are not a resident of Massachusetts or Rhode Island (residents of these states are not eligible)
• You have been prescribed VYVGART for an FDA-approved indication

The program does not have specific income thresholds, meaning eligibility is primarily based on having commercial insurance and a valid prescription rather than financial need.

Financial Assistance Available

If you qualify for My VYVGART Path, you may receive significant financial assistance:

• Co-pay assistance: You may pay as little as $0 for VYVGART and related administration costs
• Maximum annual benefit: Up to $25,000 per calendar year in savings for eligible out-of-pocket costs
• Coverage includes: Both the medication and drug administration costs

Once you reach the $25,000 annual maximum benefit in a calendar year, you will be responsible for any remaining out-of-pocket costs for the medication and associated administration for the rest of that year.

Insurance Requirements

To participate in My VYVGART Path, you must have:

• Active commercial or private insurance coverage for VYVGART
• A valid prescription from your healthcare provider

The program is designed to work with your existing insurance plan to reduce your out-of-pocket costs. If VYVGART is not covered by your insurance plan, you may still be eligible for other financial assistance programs through argenx.

How to Apply: Step-by-Step

Step 1: Get Your Prescription

Work with your neurologist to obtain a prescription for VYVGART or VYVGART Hytrulo. Your doctor will determine which form is appropriate for your treatment plan.

Step 2: Contact My VYVGART Path

Call the My VYVGART Path support team at 1-833-697-2841 to begin the enrollment process. You can also be enrolled through your specialty pharmacy when your prescription is sent there.

Step 3: Work with an Access Manager

An Access Manager will help you with:

• Enrolling in My VYVGART Path
• Conducting benefit verifications for your insurance
• Confirming your insurance plan's coverage details
• Determining your out-of-pocket costs

Step 4: Connect with a Nurse Case Manager

Once enrolled, a Nurse Case Manager will:

• Help you understand the insurance process
• Explain potential financial assistance programs
• Help you enroll in the VYVGART Co-Pay Program
• Inform you about charitable foundations that may help cover costs
• Support you throughout your treatment journey

Step 5: Receive Your Medication

Your specialty pharmacy will coordinate delivery of your VYVGART prescription and help ensure you receive your co-pay assistance benefits.

Timeline and Processing

While specific processing times are not publicly detailed, the enrollment process is designed to be efficient. When you contact My VYVGART Path or work through your specialty pharmacy, the team will work to get you enrolled quickly so you can begin treatment without delay. Your Access Manager will conduct benefit verifications promptly to confirm your coverage and out-of-pocket costs.

What to Expect During Treatment

My VYVGART Path provides ongoing support throughout your treatment:

• Benefit tracking: The program will keep track of your reimbursement total and let you know how much of your yearly commercial co-pay savings allotment you have remaining
• Claim management: The team will let you know if you need to submit a claim
• Prescription fulfillment: Support with prescription and refill fulfillment
• Prior authorization assistance: Help with the prior authorization process if required by your insurance plan
• Denial and appeal support: Assistance with your patients' denial and appeal process if needed

If Your Application Is Denied

If you are denied coverage or assistance through My VYVGART Path, the program offers support:

• Appeal assistance: Field Reimbursement Managers are available to provide assistance with the appeal process
• Alternative programs: My VYVGART Path can inform you about other financial assistance programs and charitable foundations that may help cover your out-of-pocket costs
• Continued support: Contact the My VYVGART Path team at 1-833-697-2841 to discuss your options

Important Restrictions and Limitations

• You cannot seek reimbursement from both the VYVGART Co-Pay Program and your commercial insurance plan simultaneously
• You cannot use Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) in combination with this program
• Residents of Massachusetts and Rhode Island are not eligible
• The program is only available to patients prescribed VYVGART for FDA-approved indications

Contact Information

My VYVGART Path Support Team

• Phone: 1-833-697-2841
• Available for: Enrollment, benefit verification, insurance coverage questions, financial assistance information, and support with the treatment journey

Disclaimer

This guide provides general information about the My VYVGART Path patient assistance program based on current program details. Program eligibility, benefits, and terms may change. For the most current and complete information about the program, including specific eligibility requirements and application procedures, please contact My VYVGART Path directly at 1-833-697-2841 or speak with your healthcare provider. This information is not a guarantee of eligibility or assistance. Always consult with your healthcare team and insurance provider regarding your specific situation.