PROVENGE Financial Coverage

More than 90% of Medicare fee-for-service (FFS) patients receiving PROVENGE are expected to have minimal to no out-of-pocket costs*

There are many types of insurance, so be sure to speak with your doctor’s office to help you throughout the financial process. You can also get more information about your coverage, as well as whether you are eligible for additional financial support during treatment with PROVENGE, by calling 1-877-336-3736.

PROVENGE is covered by Medicare as well as most other commercial plans.

PROVENGE Patient Cost Pie Chart

Your insurance coverage will be dependent upon several factors such as where you live and your health plan’s insurance benefit design.


Dendreon ON Call is committed to supporting you

Co-pay assistance

Eligibility is determined by Dendreon

  • Refers Medicare patients to the appropriate independent foundation that may provide financial assistance for co-pays, co-insurance, and deductible costs*
    Eligibility is determined by the individual foundation

  • Commercially insured patients may be eligible to access PROvide, which provides coverage of up to $6,000 for PROVENGE treatments

Support for
uninsured or rendered uninsured patients

Eligibility is determined by Dendreon

PROVENGE is provided free of cost to eligible uninsured patients and those eligible patients who have become uninsured due to a final payer claim denial.§

Requirements include:

  • Adjusted gross income of $150K a year or less

  • Age 18 or older

  • US resident

  • On-label prescription

Travel cost assistance

  • If you need financial assistance with treatment-related costs, a case manager can refer you to independent resources to determine if you are eligible for help with these costs*

*Co-pay and travel assistance foundations provide assistance regardless of the choice of medicine, and decisions are based on financial need and according to criteria established by the individual foundations. Dendreon ON Call can assist patients by referring them to these independent organizations. Dendreon cannot guarantee that patients will be eligible for or receive assistance after referral. Dendreon does not have control or managerial influence over these independent organizations.

The PROvide Commercial Co-pay Program provides flexible coverage of up to $6,000 over 3 PROVENGE treatments for co-pays, co-insurance, and deductible costs. Eligibility criteria can be changed or program can be discontinued at any time at the sole discretion of Dendreon. Patients with government-funded insurance including Medicare, Medicare Part D, Medicaid, or TriCare are not eligible for the PROvide Program. Additional terms and conditions apply.

Contact Dendreon ON Call at 1-877-336-3736 for eligibility criteria. Uninsured patient assistance program eligibility criteria can be changed or program can be discontinued at any time at the sole discretion of Dendreon.

§ In the event an eligible patient’s claim for coverage for PROVENGE is denied by his payer after all appeals, the cost of the drug may be covered by Dendreon’s patient assistance program.

Support

Get the Support You Need

PROVENGE has a variety of resources available for you, from medical experts to patient support group information and more.
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A Short Course of Treatment

PROVENGE therapy can be completed in about a month.
Learn more ›

Doctor Discussion Guide

Find tips on talking to your doctor about whether PROVENGE could be right for you.
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Find a PROVENGE Treatment Center

INDICATION

PROVENGE® (sipuleucel-T) is a prescription medicine that is used to treat certain patients with advanced prostate cancer. PROVENGE is made from your own immune cells.

IMPORTANT SAFETY INFORMATION

  • Before getting PROVENGE, tell your doctor about all your medical problems, including problems with your heart or lungs, or if you have had a stroke
  • Tell your doctor about all the medicines you take, including prescription and nonprescription drugs, vitamins, and dietary supplements
  • PROVENGE is made from your own immune cells, collected approximately 3 days before each scheduled infusion of PROVENGE. The collection is called “leukapheresis” (pronounced loo-kuh-fuh-REE-sis). You will get PROVENGE in 3 intravenous infusions (put into your veins), about 2 weeks apart. Each infusion takes about 60 minutes. You will then be monitored for at least 30 minutes. Your doctor will give you a schedule for your cell collection and infusion appointments. It is very important that you arrive on time for your appointments
  • The most common side effects of PROVENGE include chills, fatigue, fever, back pain, nausea, joint ache, and headache. These are not all the possible side effects of PROVENGE treatment
  • PROVENGE infusion can cause serious reactions. Tell your doctor right away if you:
    • Have breathing problems, chest pains, racing heart or irregular heartbeats, high or low blood pressure, dizziness, fainting, nausea, or vomiting after getting PROVENGE. Any of these may be signs of heart or lung problems
    • Develop numbness or weakness on one side of the body, decreased vision in one eye, or difficulty speaking. Any of these may be signs of a stroke
    • Develop symptoms of thrombosis which may include: pain and/or swelling of an arm or leg with warmth over the affected area, discoloration of an arm or leg, unexplained shortness of breath, chest pain that worsens on deep breathing
    • Get a fever over 100°F, or redness or pain at the infusion or collections sites. Any of these may be signs of infection
  • Tell your doctor about any side effect that concerns you or does not go away. For more information, talk with your doctor

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full Prescribing Information.