Zavesca

Indicated For

Gaucher disease type 1, Niemann-Pick disease type C

About This Medication

# Accessia Health Gaucher Disease Patient Assistance Program: How to Get Zavesca at Low or No Cost ## About This Program The Accessia Health Gaucher Disease - Public Insurance program provides financial assistance to eligible patients taking Zavesca (miglustat) and other Gaucher disease medications. This program helps reduce out-of-pocket costs including copayments, premiums, and other healthcare expenses related to your treatment. ## What is Zavesca? Zavesca (miglustat) is an FDA-approved medication used to treat type 1 Gaucher disease and Niemann-Pick disease type C. It works by reducing the production of certain fatty substances that accumulate in cells when the body lacks specific enzymes. Zavesca is typically prescribed when enzyme replacement therapy is not a suitable option for the patient. ## Who Qualifies for This Program? You may be eligible for Accessia Health assistance if you: - Have a confirmed diagnosis of Gaucher disease or Niemann-Pick disease type C - Are currently prescribed Zavesca or other covered medications (Cerezyme, Vpriv, Elelyso, Cerdelga, Miglustat, or Yargesa) - Are a resident of the United States or Puerto Rico - Meet the program's financial need requirements - Have valid health insurance coverage The program is needs-based, meaning your eligibility depends on your household income and financial circumstances. Unlike some assistance programs, you do not need to meet specific income thresholds to apply—the program evaluates each application individually based on financial need. ## Insurance Requirements This program is designed for patients with public insurance coverage. You must have active health insurance to participate. The program works alongside your existing insurance to help cover costs that your plan doesn't fully pay for, such as copayments and premiums. ## What Costs Does This Program Cover? The Accessia Health program can provide assistance with: - Copayments for your Zavesca prescription - Insurance premiums - Infusion and nursing services - Travel expenses related to treatment - Other ancillary healthcare services The program offers up to **$10,000 in annual maximum benefits** per patient. ## How to Apply ### Step 1: Gather Required Documents Before applying, collect the following information: - Your diagnosis confirmation (medical records showing Gaucher disease or Niemann-Pick disease type C diagnosis) - Demographic and contact information - Proof of household income (recent tax returns, pay stubs, or benefit statements) - Current health insurance details (policy number, carrier name, group number) - A completed Medical Care Provider Statement from your doctor ### Step 2: Submit Your Application You can apply in two ways: - **Online**: Visit the patient portal at https://patient.accessiahealth.org/ - **By Phone**: Call the Accessia Health helpline for assistance with your application ### Step 3: Provide Medical Documentation Your healthcare provider must complete and submit a Medical Care Provider Statement to process your application. Contact your doctor's office to request this form and ensure it's submitted to Accessia Health. ### Step 4: Await Approval Accessia Health will review your application and notify you of approval status. Processing times vary, but you should expect to hear back within 2-4 weeks. ## Timeline and Delivery Once approved, Accessia Health will mail you a pharmacy benefit card (for copayment assistance) or a payment card (for other eligible expenses). You can begin using your benefits immediately upon receipt. **Important**: You must use your grant award at least once every 4 months. If you don't use your benefits within this timeframe, your award will close and you'll need to reapply. Claims for reimbursement must be submitted within 4 months from the date of service to be considered for payment. ## What If Your Application Is Denied? If your application is denied, you have several options: - **Request clarification**: Contact Accessia Health to understand why your application was denied - **Reapply**: If your circumstances have changed, you can submit a new application - **Explore alternatives**: Ask your healthcare provider about other patient assistance programs or discuss generic medication options - **Contact your insurance company**: Your insurance plan may have additional resources or appeal processes ## Reauthorization and Ongoing Support Your assistance award is not permanent. You must maintain active use of your benefits (at least once every 4 months) to keep your award open. If your award closes due to non-use, you'll need to reapply for assistance. If your financial circumstances change significantly, you may need to reapply or provide updated income documentation to continue receiving benefits. ## Important Reminders - Enrollment in this program is required, but health insurance coverage is not a barrier to applying - All applicants must be U.S. or Puerto Rico residents - Keep your pharmacy benefit card or payment card in a safe place - Submit claims and use your benefits regularly to maintain your award - Contact Accessia Health if you have questions about your benefits or need to update your information ## Disclaimer This guide provides general information about the Accessia Health Gaucher Disease - Public Insurance program based on available program details. Program eligibility, benefits, and requirements may change. For the most current and complete information, visit https://patient.accessiahealth.org/ or contact the Accessia Health helpline directly. Always consult with your healthcare provider about your treatment options and financial assistance eligibility.

Program information last verified: March 30, 2026