XERMELO

Indicated For

Carcinoid syndrome diarrhea

About This Medication

# TerSera SupportSource Patient Assistance Program Patient Guide: How to Get XERMELO (telotristat ethyl) at Low or No Cost XERMELO (telotristat ethyl) is a prescription medication used to help reduce diarrhea in adults with carcinoid syndrome when used along with somatostatin analog (SSA) therapy. The **TerSera SupportSource Patient Assistance Program** offers free XERMELO to eligible uninsured or underinsured patients who demonstrate financial need, helping remove cost barriers to this important treatment.[1][2][6] ## About XERMELO and Why You Might Need Assistance **XERMELO** treats carcinoid syndrome diarrhea (CSD), a common symptom in neuroendocrine tumor patients. Carcinoid syndrome occurs when tumors release hormones causing flushing, diarrhea, and other issues. XERMELO works by inhibiting tryptophan hydroxylase, reducing serotonin production that leads to diarrhea. It's taken as 250 mg tablets three times daily, 30 minutes before meals, alongside SSA injections like octreotide.[1][2][7] Without insurance or with high costs, XERMELO can be expensive. The Patient Assistance Program (PAP) provides it free for up to one year to those who qualify based on financial need. This guide explains eligibility, application steps, and more to help you access treatment smoothly.[2][6][10] ## Who Qualifies for the Program? Eligibility focuses on financial need and lack of coverage: - **Financial Need**: Must show inability to afford medication. Specific income limits aren't publicly listed; call (844) 937-6356 for details on household income guidelines.[1][2][6] - **Residency**: U.S. citizen, Green Card holder, or valid work visa holder.[10] - **Insurance Status**: Uninsured or underinsured without coverage for XERMELO. **Not eligible** if using Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or other state/federally funded programs.[2][7] ## Income Eligibility Breakdown Exact **Federal Poverty Level (FPL)** thresholds aren't disclosed publicly, unlike many programs. TerSera evaluates case-by-case. Here's a general overview based on similar programs (contact TerSera for your situation): | Household Size | Estimated Max Income (300% FPL example)* | Notes | |---------------|-----------------------------------------|-------| | 1 (Individual) | ~$45,180 | *Illustrative; actual varies | | 2 (Couple) | ~$61,320 | Call for precise assessment | | 3 | ~$77,460 | Financial docs required | | 4 | ~$93,600 | Household income considered | *Examples based on 2026 FPL estimates; TerSera confirms eligibility individually. Specific thresholds not public—financial need must be established via application.[2][6][10] ## Insurance Requirements - **Eligible**: No prescription coverage or underinsured (high copays/deductibles not covered by copay programs). - **Ineligible**: Any government-funded insurance like **Medicare Part D, Medicaid, VA benefits, TRICARE**. Commercial insurance patients may use copay assistance separately (up to $10,000/year), but PAP is for those without viable coverage.[2][4][7] TerSera SupportSource verifies insurance first. If ineligible for PAP, they explore copay cards or other options.[3][6][7] ## Step-by-Step Application Process 1. **Discuss with Your Doctor**: Share this guide. Your prescriber completes the **TerSera SupportSource Enrollment Form** (pages 1-2), including your info, diagnosis, and prescription.[3][7] 2. **Fax the Form**: Doctor faxes to 1-855-215-5318. Include patient signature authorizing info sharing.[3] 3. **Call TerSera**: Dial **(844) 937-6356** (1-844-XERMELO) to start. Speak to a support specialist or Clinical Nurse Educator for guidance.[1][2][3] 4. **Submit Proof of Need**: Provide income docs (tax returns, pay stubs, etc.) when requested. No standard list published; they'll specify.[2][6] 5. **Benefits Investigation**: TerSera checks insurance/eligibility.[7] 6. **Approval Notification**: If approved, medication ships free.[2][6] Application methods include phone, fax, and potentially online via terserasupportsource.com.[3][6] ## Timeline and Delivery - **Processing**: Varies; typically weeks after full submission. TerSera contacts for missing info.[7] - **Delivery**: Shipped directly to your home via TerSera SupportSource Specialty Pharmacy (Biologics, Inc.). Starter kit includes initial supply; pharmacists available 24/7 at 1-800-850-4306.[7] - **Ongoing**: Up to 1 year supply; reapplication may apply.[10] ## Alternatives if Denied or Ineligible - **Copay Program**: Commercial insurance? Get as low as $0 copay up to $10,000/year via Co-Pay Card.[4][7] - **Specialty Pharmacy Support**: Free benefits investigation.[6][7] - **NurseSupport**: Enroll for education (for current users).[9] - **Other Resources**: Doctor discussion guide, sample letters for appeals.[1][8] - **RxAssist.org**: Search broader aid.[5] If denied, ask for reasons and reapply with more docs or explore copay.[2][6] ## Important Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Program details can change; **always verify with TerSera at (844) 937-6356 or terserasupportsource.com**. Not medical advice—consult your doctor. Terms/conditions apply; eligibility not guaranteed. TerSera Therapeutics LLC reserves rights to modify/terminate.[1][2][3][4] **Word count: 912**

Program information last verified: March 30, 2026