Patient support services and
programs to assist with access

Patient Eligibility Criteria

• Uninsured, functionally underinsured or Medicare patients that demonstrate financial hardship and cannot afford their cost-sharing obligation
• Must meet all eligibility requirements to qualify
• U.S. resident and must physically reside in the U.S. or U.S. territory
• Be under the care of a U.S. licensed provider with an established practice located in the U.S.
• Do not have any other financial support options
• Diagnosis and dosing must be consistent with FDA-approved prescribing information for UDENYCA^® (pegfilgrastim-cbqv)
• Adjusted annual household income of ≤ 500% of Federal Poverty Level (FPL)
• The patient must receive the drug in the outpatient setting incident to the prescribing physician's professional services