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Oncology

Abecma

Generic: idecabtagene vicleucel

Manufacturer: Bristol Myers Squibb  ·  Program: Cell Therapy 360 Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured or insured with coverage excluding CAR T cell therapy product; copay program for commercially insured (excludes Medicare, Medicaid, etc.)

Residency

US residents and Puerto Rico

Financial need required; eligibility for uninsured or those with insurance excluding CAR T coverage

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to authorized treatment center

Application Method

Phone

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 financial need
  • insurance information

Indicated For

relapsed or refractory multiple myeloma

About This Medication

# Cell Therapy 360 Patient Assistance Program Patient Guide: How to Get Abecma (idecabtagene vicleucel) at Low or No Cost Abecma (idecabtagene vicleucel) is a specialized CAR T cell therapy for adults with relapsed or refractory multiple myeloma after at least two prior treatments, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody.[8] The **Cell Therapy 360 Patient Assistance Program** from **Bristol Myers Squibb** helps eligible uninsured or underinsured patients access Abecma at low or no cost by addressing financial barriers for this complex therapy.[1][6] ## About Abecma and CAR T Cell Therapy Abecma is a **BCMA-directed genetically modified autologous T cell immunotherapy**, meaning your own T cells are collected, genetically altered in a lab to target cancer cells expressing B-cell maturation antigen (BCMA), and infused back into you to fight multiple myeloma.[8] This one-time treatment is administered at a certified CAR T cell therapy center after leukapheresis (cell collection), manufacturing (about 4-6 weeks), and conditioning chemotherapy.[1][2] **Important risks** include cytokine release syndrome (CRS), neurologic toxicities, and infections—your treatment team will monitor you closely, especially during the first weeks post-infusion.[4] Cell Therapy 360 provides a dedicated **Patient Support Navigator** available 24/7 to guide you through every step, from enrollment to post-infusion monitoring.[1][3][5] ## Who Qualifies for the Program? This program targets patients with **financial need** who are **uninsured** or have **insurance that excludes CAR T cell therapy coverage** (functionally uninsured for Abecma).[6] It's **needs-based** with no fixed income thresholds listed (e.g., Federal Poverty Level percentage), so cases are evaluated individually based on proof of financial hardship.[6] U.S. residents (including Puerto Rico) prescribed Abecma by a licensed provider at a certified center qualify if they meet these criteria.[6] **Separate Copay Assistance** is available for **commercially insured patients** (excluding government programs like Medicare, Medicaid, TRICARE, VA) to cover out-of-pocket costs.[1][3] ## Income Eligibility Breakdown Specific income limits aren't publicly detailed; eligibility hinges on demonstrating **financial need**. Contact the program for a personalized assessment. Here's a general overview: | Household Size | Typical Threshold Example (if FPL-based, varies by program) | Notes | |---------------|------------------------------------------------------------|-------| | Individual | Not specified; case-by-case | Proof of income/residency required[6] | | Couple | Not specified; case-by-case | Financial need assessed holistically | | Family of 3 | Not specified; case-by-case | No fixed FPL % published | | Family of 4+ | Not specified; case-by-case | Evaluated individually | **Additional perks** for eligible patients: transportation, lodging near the treatment center, and meal support for you and a care partner.[1][3] ## Insurance Requirements - **Uninsured patients**: Fully eligible with financial need proof.[6] - **Insured but no CAR T coverage**: Qualifies as 'functionally uninsured'.[6] - **Commercially insured**: Use the Copay Program (not for government insurance).[1][3] - **Medicare/Medicaid/TRICARE/VA**: Ineligible for copay aid; explore other options.[3] Prior authorization (PA) support is available, including coverage lookup tools and appeal letters.[4] ## Step-by-Step Application Process 1. **Confirm prescription**: Discuss Abecma with your doctor at a certified CAR T center.[5] 2. **Call to enroll**: Dial **(888) 805-4555** (24/7, press 1 for patient support).[1][3][5] Your Patient Support Navigator will assess eligibility. 3. **Submit documents**: Provide **proof of financial need** (e.g., tax returns, pay stubs, bank statements) and **insurance information** (or proof of denial/exclusion).[6] 4. **Treatment center coordination**: Once approved, Abecma ships directly to your authorized center—no home delivery.[6] 5. **Opt into extras**: Request travel/lodging/meal support if eligible.[1] Applications are handled **by phone**; no online form specified.[6] ## Timeline and Delivery - **Processing time**: Not specified—call for details, but cell manufacturing takes ~4-6 weeks post-collection.[1] - **Delivery**: Shipped to your certified treatment center for infusion.[6] - **Full journey support**: From cell collection through at least 4 weeks post-infusion monitoring.[10] Your Navigator coordinates logistics seamlessly.[3] ## Alternatives if Denied - **Appeal**: Work with your Navigator for PA appeals or medical necessity letters.[4] - **Other assistance**: Bristol Myers Squibb oncology programs, state charities, or nonprofits like MMRF.[10] - **Copay program**: If commercially insured.[1] - **Manufacturer contact**: Reapply if circumstances change by calling (888) 805-4555.[3] - **No biosimilars** available for Abecma.[6] ## Disclaimer This guide is for informational purposes only and not a substitute for medical or financial advice. Eligibility, benefits, and terms can change; confirm with Cell Therapy 360 at (888) 805-4555. Bristol Myers Squibb reserves the right to modify or cancel the program. Always consult your healthcare provider. Data current as of available resources; individual results vary.[1][6]

Program information last verified: March 30, 2026

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