Cystic Fibrosis Treatment Fund
The Cystic Fibrosis Treatment Fund is designed to assist eligible people living with cystic fibrosis with cost-shares associated with FDA approved CF-specific treatments and some related treatments.
Treatments covered requiring the patient’s insurance to cover or pay first:
|Acetylcysteine solution||Kalydeco||Tobi Podhaler|
|AccuNeb||Mucomyst (10% & 20%)||Ultresa|
|Albuterol (Solution or HFA)||Nebcin||Ursodiol|
|Azasite||Orkambi||Ventolin (Solution or HFA)|
|Colistin||Proventil (Solution or HFA)||Xopenex HFA|
|Hypertonic Saline Solution or Hyper-Sal or Sodium Chloride (3, 7, and 10% HTS)||Trikafta|
|Ipratropium combine with Albuterol||Tobi|
Covered Nebulizer Handsets
|Hudson T Up-draft II Handset||PARI LC Plus Handset|
|PARI Baby Handset||PARI PEP Handset|
|PARI eRapid Nebulizer Handset||PARI Sprint Handset|
|Pari Smartmask Kids|
NOTE: All nebulizer systems and handset reimbursements must go through HealthWell’s paper claim process.
Other Covered Paired Nebulizer Systems
|Altera Nebulizer System||i|
|i||HealthWell covers nebulizer systems (compressor + handset) where a covered product can only be delivered using that system. In all other cases, HealthWell is able to assist with handset replacements.|
HealthWell is committed to supporting the CF Community and the established guidelines around our covered product list are meant to focus on the areas of greatest need for the majority of people living with CF. We understand there are additional areas to be addressed and, over time, it is our hope to be able to expand our coverage even further.
As an independent, non-profit organization, HealthWell works closely with many advocacy groups associated with the funds we manage, including the Cystic Fibrosis Foundation. While we may seek their insight related to some aspects our CF program, the decisions are ultimately ours.
The following products have already been considered by HealthWell and, at this time, are not covered under the fund. We periodically reconsider coverage for these products; any changes to the list of covered products will be made available through our website at www.HealthWellFoundation.org.
Treatments already considered and NOT currently covered:
|Antibiotics (e.g., Zyvox and Doxycycline)||Pantoprazole|
|Bactrim||Pari eRapid Nebulizer System (Compressor)|
|Benefiber||Pari LC Sprint Sinus Reusable Nebulizer with Nasal Adapter|
|Brovana||Pari Sinus Pulsating Aerosol Compressor System|
|Feosol Complete Iron||Qvar, Qvar 80|
|Filters for Pari Vios PRO, PRONeb Ultra, and SinuStar||Sidestream Nebulizer (Compressor)|
|Gatorade||Udo Blend 3, 6, 9|
|Helios||Vibra Lung Airway|
|Homeopathic Treatment (e.g., herbal teas)||Zyrtec|
|Materials (e.g., feeding tubes and diabetic supplies)|