Zoladex

Indicated For

breast cancer, prostate cancer

About This Medication

# TerSera Therapeutics Patient Assistance Program Patient Guide: How to Get Zoladex at Low or No Cost Zoladex (goserelin) is a prescription medication used to treat conditions like prostate cancer, breast cancer, and endometriosis by reducing hormone levels that fuel these diseases. The **TerSera Therapeutics Patient Assistance Program (PAP)** offers **Zoladex for free** to eligible uninsured or underinsured patients who meet financial and other criteria, helping ensure access to this important therapy without high costs.[7][8] ## About Zoladex and Why This Program Matters **Zoladex** is an injectable hormone therapy administered monthly or every three months by a healthcare provider. It works by releasing goserelin, a synthetic hormone that suppresses estrogen or testosterone production, slowing the growth of hormone-sensitive cancers or managing endometriosis symptoms. Common uses include advanced prostate cancer, hormone receptor-positive breast cancer in premenopausal women, and thinning the uterine lining before surgery.[8] Without insurance coverage, Zoladex can cost thousands per dose, creating a major barrier for many patients. The TerSera PAP bridges this gap by providing the medication at no charge for up to one year to qualifying individuals. This program is part of TerSera SupportSource, which also offers copay help and coverage support, but the PAP is specifically for those without prescription drug coverage for Zoladex.[5][7] ## Who Qualifies for the Program? To qualify, patients must meet these key requirements: - Be a **U.S. citizen, Green Card holder, or have a valid work visa** (permanent legal U.S. resident).[7] - Have **no prescription drug coverage for Zoladex** (uninsured or underinsured with financial need established).[7][8] - Meet **household income limits** based on federal guidelines (exact thresholds not publicly listed; call for details).[7] - Provide proof of residency, income, and lack of insurance.[program details] Medicare or Medicaid patients may have limited eligibility—check specifics by phone, as some TerSera programs exclude certain government coverage.[2][7] ## Income Eligibility Breakdown Income limits are tied to **Federal Poverty Level (FPL)** percentages, common in PAPs (e.g., up to 400% FPL in similar TerSera programs), but for Zoladex, you must **call (855) 686-8725** for your household size-specific threshold. Eligibility is verified via tax returns or other documents.[5][program details] Here's a general example table based on 2026 FPL (actual program limits may differ—confirm by phone): | Household Size | Example 400% FPL Threshold (Annual Income) | |----------------|--------------------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Notes: Add ~$21,000 per additional person. This is illustrative; program uses 'certain household income limits'—call for exact figures and verification process.*[program details][2] ## Insurance Requirements The program targets patients with **no prescription drug coverage for Zoladex**. This includes: - Completely uninsured individuals. - Underinsured patients whose plan excludes Zoladex or where financial need is proven. - Exceptions may apply (e.g., some Medicare patients in other TerSera PAPs, but verify for Zoladex).[7][program details] If you have insurance, explore TerSera's copay program first (up to $10,000/year assistance). Provide proof of no coverage, such as an insurance denial letter or statement.[program details][9] ## Step-by-Step Application Process Applications are **by phone only**—no online form listed. Here's how to apply: 1. **Contact the Program**: Call **(855) 686-8725** (TerSera SupportSource). Discuss eligibility and start the process. Hours may vary; specialists guide you.[7][8][program details] 2. **Gather Required Documents**: - **Proof of income** (e.g., tax returns, pay stubs, W-2s).[program details][5] - **Proof of residency** (e.g., utility bill, lease).[program details] - **Proof of no insurance** (e.g., denial letter, insurance card showing no Rx coverage).[program details] 3. **Work with Your Doctor**: Your prescriber confirms the Zoladex prescription is medically necessary and completes any required sections (similar to other TerSera forms).[1][2] 4. **Submit via Phone Guidance**: Program reps instruct on next steps, possibly faxing forms like in other TerSera PAPs. Sign consents for income/insurance verification.[4][6] 5. **Await Approval**: If eligible, medication ships free.[program details] Your doctor and you may need to sign agreements, including HIPAA release for verification.[1][2] ## Timeline and Delivery Processing time isn't specified, but similar programs notify of eligibility upon receipt and ship promptly (e.g., within days of approval). **Reauthorization is required** periodically to confirm ongoing need.[program details][4] **Delivery**: Shipped free to your **home or doctor's office**—choose what's best.[7][program details] Expect treatment to start soon after approval; some programs require use within 180 days.[2] ## Alternatives if Denied or Ineligible - **Copay Program**: For insured patients, as little as $0 copay up to $10,000/year.[3][9] - **Other Foundations**: TerSera can refer to copay assistance foundations.[1] - **Specialty Pharmacy**: Benefits investigation or samples via SupportSource.[3][5] - **Generic/Biosimilars**: None listed for Zoladex.[program details] - **State Programs**: Check PAN Foundation or NeedyMeds for hormone therapies. - **Appeal**: Provide additional docs if income/residency disputed.[4] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. **TerSera may change, modify, or end the program anytime without notice**. Eligibility isn't guaranteed. Always call **(855) 686-8725** for latest info, personalized advice, and full terms. Consult your doctor before starting Zoladex—it's not for everyone and has side effects like hot flashes, bone thinning. Not affiliated with AstraZeneca (original Zoladex maker). Word count: 1028.

Program information last verified: March 30, 2026