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ZORYVE

Generic: roflumilast

Manufacturer: Arcutis Biotherapeutics  ·  Program: Arcutis Cares Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, Medicaid, Medicare Part D, or underinsured who cannot afford medication

Residency

US resident (including Puerto Rico), 12 years or older

Financially eligible uninsured or underinsured patients; proof of income for household required, current tax return preferred

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of income for household (current tax return preferred)
  • Prescription

Indicated For

plaque psoriasis, seborrheic dermatitis, atopic dermatitis

About This Medication

# Arcutis Cares Patient Assistance Program Patient Guide: How to Get ZORYVE (roflumilast) at Low or No Cost ZORYVE (roflumilast) cream is a prescription topical treatment approved by the FDA for plaque psoriasis in adults and children 12 years and older, and for atopic dermatitis in adults and children 6 years and older. The **Arcutis Cares Patient Assistance Program** from **Arcutis Biotherapeutics** provides this medication **at no cost** to financially eligible patients who are uninsured, underinsured, or enrolled in Medicare/Medicaid but facing hardship.[1][2][4] ## Who Qualifies for Arcutis Cares? This program helps **U.S. residents** (including Puerto Rico) who meet these key criteria: - Prescribed ZORYVE for an FDA-approved use. - At least **12 years old** (some sources note 18+, but official docs confirm 12+).[1][2][3][4] - **Household income at or below 300% of the Federal Poverty Level (FPL)**. Proof of income for **everyone in your household** is required—**current tax return preferred**.[1][2] - **Insurance status**: Uninsured, or have Medicare Part D, Medicaid, or underinsured with high out-of-pocket costs you can't afford.[1][4][7] **Meeting these doesn't guarantee approval**—Arcutis reviews each application individually.[1] ## About ZORYVE (roflumilast) **ZORYVE** is a once-daily **non-steroidal cream** that targets inflammation inside the skin to relieve itching and redness. It's applied directly to affected areas for: - **Plaque psoriasis**: Adults and children 12+. - **Atopic dermatitis (eczema)**: Adults and children 6+ (check prescribing info for age specifics).[7][8] Unlike steroids, it has a low risk of skin thinning with long-term use. Always follow your doctor's instructions. Common side effects include diarrhea, nausea, or headache—discuss with your healthcare provider.[7] ## Income Eligibility Breakdown Eligibility is based on **total household income** compared to **300% FPL**. Use the table below for 2026 guidelines (FPL updates annually; verify current levels at healthcare.gov). | Household Size | 100% FPL | 300% FPL (Max Income) | |----------------|----------|-----------------------| | 1 | $15,060 | **$45,180** | | 2 | $20,440 | **$61,320** | | 3 | $25,820 | **$77,460** | | 4 | $31,200 | **$93,600** | | 5 | $36,580 | **$109,740** | | Add per person | +$5,380 | **+$16,140** | **Notes**: Include **all household members** (even non-relatives living together). Provide **proof like tax returns, pay stubs, or W-2s**. Program prefers **most recent federal tax return**.[1][2] ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified. - **Medicare Part D or Medicaid**: Eligible if you attest to **financial hardship** (e.g., high copays/deductibles). - **Underinsured (commercial insurance)**: Provide **pharmacy printouts** showing out-of-pocket costs for ZORYVE and other meds to prove unaffordability.[1][2][4] **Not eligible**: Patients with adequate commercial insurance coverage without hardship.[1] ## Step-by-Step Application Process 1. **Talk to your doctor**: They complete **Section 7-10** of the form (prescriber info, medication request, signature).[1][2] 2. **Download or request form**: Call **(855) 600-3755** (Mon-Fri, 8AM-8PM ET) or visit arcutiscares.com.[2][4][5] 3. **Patient completes Pages 2-3**: - Section 1: Your info. - Section 2: Household income/people. - Section 3: Insurance details + cost printouts. - Section 4: Consent/signature.[1] 4. **Gather documents**: - **Proof of income** (tax return best). - **Valid prescription** for ZORYVE. - Insurance cards/statements if applicable.[1][2][4] 5. **Submit** (multiple methods): - **Phone**: Start at (855) 600-3755—they guide you.[2] - **Fax**: 855-237-9113.[1][2] - **Mail**: Arcutis Cares PAP, 9 Commerce Drive, Schaumburg, IL 60173.[1][2] Keep copies! Program may contact you via email/text for next steps.[4] ## Timeline and Delivery - **Processing**: Not specified—submit ASAP for fastest review. They contact you and your doctor to confirm eligibility.[1][4] - **Approval**: Up to **12 months** of medication per enrollment.[4] - **Delivery**: **Shipped free** to your home or doctor's office.[Provided Data] - **Reauthorization**: **Required** after 12 months—resubmit updated info.[Provided Data][1] ## Alternatives if Denied or Ineligible - **ZORYVE Direct Savings Card**: For commercially insured—pay as low as $0-$25 copay (visit zoryvehcp.com).[7] - **Other PAPs**: Check rxassist.org or needymeds.org. - **State programs**: Contact your state Medicaid or pharmaceutical assistance. - **Manufacturer copay assistance**: Call Arcutis at (855) 600-3755 for other options.[5][7] - **Generic/biosimilars**: None currently available.[Provided Data] ## Important Disclaimer This guide is for informational purposes only and based on publicly available program details as of latest updates (e.g., Dec 2023).[1] **Eligibility, terms, and FPL levels can change**—always verify with Arcutis Cares at (855) 600-3755 or arcutiscares.com. Not affiliated with Arcutis Biotherapeutics. Consult your doctor before starting/stopping ZORYVE. This is not medical or legal advice.

Program information last verified: March 30, 2026

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