Trodelvy (sacituzumab govitecan)

Do You Qualify?

Income Limits (500% FPL)

Calculated based on 500% FPL, which is the standard threshold for Gilead's oncology patient assistance programs.

Based on 2025 HHS Federal Poverty Level guidelines.

# Trodelvy (Sacituzumab Govitecan) Patient Assistance Guide

Gilead Oncology Support Program — Brought to You by RX Advantages

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Who Qualifies for the Gilead Oncology Support?

If you have been prescribed Trodelvy and are struggling with the cost, you may qualify for free or reduced-cost medication through the Gilead Oncology Support program. This program serves patients who are uninsured, underinsured, or commercially insured but facing high out-of-pocket costs.

For a single-person household, the income limit is $75,300 per year. Larger households may qualify at higher income levels.

Your insurance status matters: if you have no insurance or limited coverage, you may qualify for the free drug program. If you have commercial (private) insurance, you may qualify for a co-pay assistance card instead. Patients covered by government insurance programs such as Medicare, Medicaid, TRICARE, or the VA are not eligible for the co-pay card, though other options may be available to you.

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About Trodelvy (Sacituzumab Govitecan)

Trodelvy is a prescription medication made by Gilead Sciences. It belongs to a class of drugs called Trop-2-directed antibody-drug conjugates, which are designed to target specific proteins on cancer cells. Trodelvy is FDA-approved for adults with triple-negative breast cancer (TNBC) and HR-positive, HER2-negative breast cancer who have received prior treatment.

Because Trodelvy is a specialty biologic cancer medication, it carries a very high list price — often tens of thousands of dollars per treatment cycle — making it unaffordable for many patients without assistance. There are currently no FDA-approved biosimilar alternatives to Trodelvy, which means patients cannot substitute a lower-cost version. Patient assistance programs like Gilead Oncology Support exist specifically to help close this cost gap.

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Income Eligibility: Full Breakdown

Gilead uses 500% of the Federal Poverty Level (FPL) as its income threshold, which translates to the following annual income limits based on household size:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $75,300 |

| 2 persons | $102,200 |

| 3 persons | $129,100 |

| 4 persons | $156,000 |

For households larger than four people, income limits continue to increase — contact Gilead Oncology Support directly at (844) 876-3358 to ask about your specific household size.

Income is typically verified using your most recent federal tax return or three months of recent pay stubs. If your income has recently changed — for example, due to job loss, retirement, or a medical leave — you may be able to provide documentation that reflects your current financial situation rather than last year's figures.

If your income is above these limits, you may not qualify for the free drug program. However, you should still explore the co-pay savings card (if commercially insured) and the alternative resources listed later in this guide. Being over the income limit does not always mean you are out of options.

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Insurance Requirements Explained

Your eligibility depends in part on what insurance you currently carry:

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Step-by-Step: How to Apply

Step 1: Gather your documents.

You will need: proof of income (prior year tax return or three months of pay stubs), your current insurance card or proof of no insurance, and a prescription or enrollment form signed by your doctor.

Step 2: Choose your application method.

You can apply in one of two ways:

Step 3: Have your prescriber complete their portion.

Your doctor or their office staff will need to sign the enrollment form and may need to submit clinical information confirming your diagnosis and treatment plan.

Step 4: Submit your application.

If applying online, upload your income and insurance documents through the secure portal. If applying by phone, a representative will tell you exactly where and how to send your paperwork.

Step 5: Wait for a determination.

After your application is reviewed, you or your prescriber's office will be notified of your eligibility status. If approved, your medication will be arranged for delivery.

Step 6: Follow up if needed.

If you do not hear back within a reasonable time, call (844) 876-3358 to check on the status of your application.

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What to Expect: Timeline and Delivery

Gilead has not published a standard processing timeframe for this program, so timelines may vary. Your prescriber's office will typically be the first to receive confirmation of approval, so stay in contact with them while your application is being reviewed.

Once approved, Trodelvy is shipped directly to your prescriber or treatment center, not to your home. This is standard for infusion medications administered in a clinical setting. You do not need to pick up or handle the medication yourself — your care team will manage receipt and administration.

Enrollment in this program must be renewed annually. Before your renewal date, your prescriber's office or Gilead will typically reach out with instructions to resubmit updated income and insurance documentation.

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Alternatives If You Don't Qualify

If you do not qualify for the free drug program, consider these options:

1. Biosimilars: There are currently no FDA-approved biosimilars for Trodelvy, so this option is not available at this time.

2. Gilead co-pay savings card: If you have commercial insurance, you may still qualify for cost-sharing help through the Gilead savings card, even if you do not meet the income threshold for the free drug program. Apply at https://www.gileadoncologysupport.com.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer drug cost programs for residents who do not qualify for manufacturer assistance. These vary by state. Ask your pharmacist or social worker about programs in your area.

4. NeedyMeds.org: This free, nonprofit database at www.needymeds.org lists hundreds of assistance programs by drug name and diagnosis. It is a useful starting point if you need to explore multiple options at once.

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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 Gilead. Program terms may change — verify current requirements at [https://www.trodelvy.com/financial-assistance](https://www.trodelvy.com/financial-assistance) before applying.*

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