YUPELRI

Indicated For

COPD

About This Medication

# Viatris Patient Assistance Program Patient Guide: How to Get YUPELRI (revefenacin) at Low or No Cost YUPELRI (revefenacin) is an inhaled anticholinergic medication used once daily via nebulizer to maintain bronchodilation and improve lung function in adults with chronic obstructive pulmonary disease (COPD). The **Viatris Patient Assistance Program (PAP)** offers this medication **free of charge** to eligible U.S. residents who are uninsured or underinsured, demonstrate financial need, and meet specific criteria.[1][2] ## About YUPELRI (revefenacin) **YUPELRI** is a long-acting muscarinic antagonist (LAMA) delivered through a standard jet nebulizer. It helps relax airway muscles in the lungs, making breathing easier for COPD patients. COPD is a progressive lung disease often caused by smoking or long-term exposure to irritants, leading to symptoms like shortness of breath, cough, and wheezing. Unlike short-acting bronchodilators, YUPELRI provides 24-hour relief with one daily dose, typically 175 mcg.[1] **Important Safety Note**: YUPELRI can cause serious side effects like bronchospasm, worsening COPD symptoms, urinary retention, or blurred vision. Always use as prescribed and discuss risks with your doctor. This guide focuses on assistance access, not medical advice—consult your healthcare provider for treatment decisions.[2] ## Who Qualifies for the Viatris PAP? Eligibility is determined individually based on financial need, residency, insurance status, and prescription validity. Key requirements include: - **U.S. Residency**: Must live in the United States or U.S. territories.[2][3] - **Financial Need**: Demonstrated through income or household details provided on the application. Specific Federal Poverty Level (FPL) thresholds are not publicly listed; cases are assessed holistically.[1][7] - **Prescription**: Valid from a licensed U.S. healthcare professional for an FDA-approved use (e.g., COPD maintenance).[2] - **Insurance Status**: Fully uninsured or insured but with **no prescription drug coverage**. Excludes federal/state programs like Medicare (Parts A, B, D, Advantage), Medicaid, Medigap, VA, DoD, or TRICARE.[2][3][7] | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Based on financial need (FPL % not specified) | Assessed individually; provide proof like tax returns or pay stubs.[1] | | Couple | Based on financial need (FPL % not specified) | Household income considered.[7] | | Family of 3 | Based on financial need (FPL % not specified) | Include all dependents.[2] | | Family of 4+ | Based on financial need (FPL % not specified) | Larger families may qualify with higher but still limited income.[3] | **Pro Tip**: Even if your income is above typical PAP limits (often 400-500% FPL for similar programs), apply—Viatris reviews each case.[1][6] ## Insurance Requirements This program is **not for patients with government-sponsored coverage**. You must lack prescription drug insurance. If underinsured (e.g., high copays but no drug coverage), you may qualify. Viatris verifies insurance status and excludes: - Medicare, Medicaid, VA, TRICARE, etc.[2][9] - Employer plans with prescription benefits.[3] Contact your insurer to confirm no drug coverage. Private commercial insurance without RX benefits might work, but federal programs disqualify you automatically.[7] ## Step-by-Step Application Process 1. **Verify Eligibility**: Call **(888) 417-5780** (M-F, 8AM-5PM CST/EST) to check if YUPELRI is covered and discuss your situation.[1][5][6] 2. **Gather Documents**: - Completed, signed PAP application (download from viatris.com).[2] - Prescription for YUPELRI from a U.S. licensed prescriber (include NPI, diagnosis).[3] - Proof of financial need: Recent tax return, pay stubs (last 3 months), bank statements, or notarized hardship letter.[1][9] - Proof of residency (e.g., utility bill, ID).[2] - Insurance details (to confirm no RX coverage).[7] 3. **Complete Application**: Prescriber fills patient info, diagnosis, and signs. Patient signs authorization. Select YUPELRI from medicine list.[2][6] 4. **Submit**: Multiple methods available[1]: - **Phone Support**: (888) 417-5780 for guidance.[5] - **Fax**: 866-792-7945 or 877-427-7290 (check form).[2][3][6] - **Email**: ViatrisPAP@CardinalHealth.com or ViatrisPAP@viatris.com.[2][3] 5. **Follow Up**: Applications must be complete; incomplete ones delay processing. Sign everywhere required.[2] ## Timeline and Delivery - **Processing**: Viatris notifies within **3-5 business days** if more info needed. Full review shortly after.[3][4] - **Approval Notification**: Via phone/email to prescriber/patient.[6] - **Duration**: **12 months** per enrollment, up to **11 refills**.[3][6] - **Delivery**: Free medication shipped to **prescriber's office** for dispensing (not direct to patient).[9] Expect medication within 1-2 weeks post-approval. Track via customer service.[1] ## If Denied or Need Alternatives **Common Denial Reasons**: - Government insurance.[2] - Insufficient financial proof.[7] - Incomplete application.[2] **Next Steps**: - Appeal with more docs (call support).[1] - **Alternatives**: - NeedyMeds.org or RxAssist.org for other COPD PAPs.[5][7] - Generic LAMAs like tiotropium (Spiriva respimat) via other programs. - State assistance, community health centers, or 340B pharmacies. - Viatris savings cards if commercially insured (viatrisconnectus.com).[10] - No biosimilars for YUPELRI listed.[provided] Reapply annually or if circumstances change.[3] ## Disclaimer This guide summarizes publicly available info as of latest data; program details can change. Viatris makes final eligibility decisions—application doesn't guarantee approval.[1][2] Not medical/financial advice. Consult doctor/pharmacist. For latest, visit viatris.com or call (888) 417-5780. Word count: 1028.

Program information last verified: March 30, 2026