Spevigo (spesolimab)
Patient Assistance Program Guide — Boehringer Ingelheim Cares Foundation (BI Cares) Patient Assistance Program
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Available to patients who are uninsured or underinsured (including those with Medicare Part D who meet specific hardship requirements). Not available for patients with commercial insurance that covers the drug, though they may qualify for a savings card.
Residency
U.S. resident or resident of U.S. territories with a valid address
Income Limits (500% FPL)
Calculated based on 500% of the 2025 Federal Poverty Level (FPL) for specialty biologics.
Based on 2025 HHS Federal Poverty Level guidelines.
# How to Get Spevigo (Spesolimab) Through the BI Cares Patient Assistance Program
Who Qualifies for the Boehringer Ingelheim Cares Foundation (BI Cares) Patient Assistance Program?
If you have been prescribed Spevigo (spesolimab) for Generalized Pustular Psoriasis (GPP) and cannot afford the cost, you may be able to get it at no charge through the Boehringer Ingelheim Cares Foundation (BI Cares) Patient Assistance Program. For a single-person household, your annual income must be at or below $75,300 to potentially qualify. In terms of insurance, this program is designed for patients who are uninsured or underinsured — if you have commercial insurance that already covers Spevigo, you will not qualify for this program, though a separate savings card option may be available to you. Medicare Part D enrollees may qualify under specific hardship criteria.
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About Spevigo (Spesolimab)
Spevigo (spesolimab) is a prescription biologic medication made by Boehringer Ingelheim. It belongs to a drug class called interleukin-36 receptor antagonists and is approved by the U.S. Food and Drug Administration (FDA) to treat Generalized Pustular Psoriasis (GPP), a rare and serious skin condition. As a specialty biologic, Spevigo is manufactured through a complex biological process, which makes it significantly more expensive than most standard medications. Without insurance coverage or financial assistance, the out-of-pocket cost can be extremely high — placing it out of reach for many patients who need it. The BI Cares program exists to help close that gap.
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Income Eligibility: Full Breakdown
The BI Cares program uses income thresholds set at 500% of the 2025 Federal Poverty Level (FPL) for specialty biologics. Your eligibility is based on your total household income — meaning everyone living in your home whose finances are combined, not just your own earnings.
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
To verify your income, you will typically need to provide your most recent federal tax return (Form 1040 or W-2) or your last three months of pay stubs. If your household size is larger than four people, contact the program directly at (800) 555-4903 — income limits scale upward with household size, and a program representative can tell you the applicable threshold for your situation.
If your income is above the limit for your household size, you may not qualify for free medication through BI Cares, but other options may still be available to you. See the "Alternatives If You Don't Qualify" section below for more information.
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Insurance Requirements Explained
Your insurance status plays a major role in determining whether you can use this program. Here is how different situations are handled:
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Step-by-Step: How to Apply
1. Visit the program website. Go to https://www.spevigo.com/support to review current program details and access the application portal, or go directly to https://www.becaresfoundation.com/ to begin your application online.
2. Gather your documents before starting. You will need: a completed application form signed by both you and your prescriber, proof of household income (your most recent Form 1040, W-2, or three months of pay stubs), and a valid prescription for Spevigo.
3. Complete the application. You can apply online through the BI Cares Foundation website, by phone at (800) 555-4903, or by fax at (866) 851-2827. Choose the method that works best for you and your prescriber.
4. Have your prescriber sign the application. Your doctor or their office staff must sign the prescriber section. Many offices are familiar with this process and can help coordinate submission.
5. Submit all documents together. Incomplete applications will delay processing. Make sure all required paperwork is included before submitting.
6. Wait for confirmation. Once your complete application is received, processing typically takes 2 to 3 business days. You will be notified of your approval status after review.
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What to Expect: Timeline and Delivery
After submitting a complete application, you can expect a decision within 2 to 3 business days. Boehringer Ingelheim or the BI Cares Foundation will contact you or your prescriber's office to confirm approval. Spevigo may be delivered directly to your home or to your prescriber's office, depending on how the medication is dispensed for your treatment plan. If delivery is to your home, you typically do not need to take any additional steps at pickup. Your enrollment in the program is not permanent — annual reauthorization is required. Before your approval period ends, you will need to reapply and provide updated income documentation to continue receiving the medication at no cost.
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Alternatives If You Don't Qualify
If you do not meet the eligibility requirements for BI Cares, here are other options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Spevigo (spesolimab). This may change in the future, so ask your doctor about any updates.
2. Manufacturer savings card: If you have commercial insurance, you may qualify for the Spevigo Savings Card, which can reduce your out-of-pocket costs. You can learn more and enroll at https://www.spevigo.com/gpp-support/savings-and-support.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own drug assistance programs, particularly for residents who are seniors or have disabilities. Eligibility and benefits vary by state. Contact your state health department or ask your pharmacist for information specific to your state.
4. NeedyMeds.org: This free, nonprofit database at www.needymeds.org lists hundreds of assistance programs by drug name, condition, and state. It is a useful starting point if you are exploring all available options.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Boehringer Ingelheim. Program terms may change — verify current requirements at [https://www.spevigo.com/support](https://www.spevigo.com/support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Boehringer Ingelheim offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Once the program receives your complete application — including all required signatures and income documents — processing typically takes 2 to 3 business days. Missing documents are the most common cause of delays, so make sure everything is included before you submit.
Yes. The BI Cares program requires annual reauthorization. Before your current approval period ends, you will need to submit an updated application along with current proof of income. Your prescriber will also need to sign the renewal paperwork.
Possibly. Medicare Part D patients are not automatically disqualified, but you must meet specific financial hardship criteria to be eligible. It is best to call the program directly at (800) 555-4903 to discuss your situation before assuming you do not qualify.
If your income exceeds the threshold for your household size, you may not qualify for BI Cares. However, you may be eligible for the Spevigo Savings Card if you have commercial insurance, or you can search for additional assistance through resources like NeedyMeds.org or your state's pharmaceutical assistance program.
Yes. You can apply by phone at (800) 555-4903 or by fax at (866) 851-2827 if you prefer not to apply online. The same documents are required regardless of how you submit your application.
Ready to Apply for Spevigo Assistance?
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