Promacta (Eltrombopag) Copay Card: Complete Guide to ITP & Aplastic Anemia Treatment Savings

Looking for a Promacta copay card? You’re in the right place. This guide explains how to access copay assistance programs, patient assistance, and savings options for Promacta (eltrombopag) to make your ITP or aplastic anemia treatment affordable.

Key Takeaways:

• Promacta copay cards can significantly reduce monthly costs for commercially insured patients
• Generic eltrombopag offers the same effectiveness at potentially lower costs
• Medicare patients can access foundation grants and patient assistance programs
• Uninsured patients may qualify for free Promacta through patient assistance programs
• QuickRx provides free enrollment assistance for all Promacta copay assistance programs

If you’ve been prescribed Promacta (eltrombopag) for immune thrombocytopenia (ITP), aplastic anemia, or thrombocytopenia with hepatitis C, you’re probably concerned about the cost. As a specialty medication, Promacta comes with a substantial price tag that can feel overwhelming. The good news? Multiple Promacta copay card programs, eltrombopag copay assistance options, and patient assistance programs exist to dramatically reduce—or even eliminate—your out-of-pocket costs.

This comprehensive guide covers everything you need to know about saving on Promacta (eltrombopag), from manufacturer copay cards to foundation grants to patient assistance programs. Whether you have commercial insurance, Medicare, Medicaid, or no insurance at all, there’s a program that can help make your treatment affordable.

Need immediate help? QuickRx Specialty Pharmacy offers free Promacta copay assistance enrollment. Call (917) 830-2525 or (800) 496-6111 to speak with a copay assistance specialist today.

Understanding Promacta (Eltrombopag)

Before exploring Promacta copay card options, it’s important to understand what this medication does and who it helps.

What Is Promacta (Eltrombopag)?

Promacta (eltrombopag) is a thrombopoietin receptor agonist—a medication that stimulates your bone marrow to produce more platelets. Platelets are essential blood cells that help your blood clot properly. Without enough platelets, even minor injuries can cause excessive bleeding or bruising.

According to the National Heart, Lung, and Blood Institute, thrombocytopenia (low platelet count) can be caused by various conditions, and Promacta is FDA-approved to treat several of them.

FDA-Approved Uses for Promacta

Promacta is FDA-approved to treat:

• Chronic Immune Thrombocytopenia (ITP): An autoimmune disorder where your immune system mistakenly attacks and destroys platelets. Promacta is approved for adults and children 1 year and older with ITP who have not responded adequately to corticosteroids, immunoglobulins, or splenectomy.
• Severe Aplastic Anemia: A rare condition where your bone marrow fails to produce enough new blood cells. Promacta is approved for adults and children 2 years and older, either as first-line treatment with immunosuppressive therapy or for patients who haven’t responded to prior treatments.
• Thrombocytopenia with Chronic Hepatitis C: Patients with hepatitis C often develop low platelet counts due to liver damage. Promacta helps increase platelet counts enough to allow patients to begin and maintain interferon-based antiviral therapy.

Important: Promacta is not indicated for treating myelodysplastic syndromes (MDS). Clinical trials showed an increased risk of progression to acute myeloid leukemia in MDS patients.

How Promacta Works

Promacta works by mimicking a natural hormone in your body called thrombopoietin (TPO). This hormone signals your bone marrow to produce more platelets. Unlike injectable TPO medications, Promacta is taken orally as a tablet or oral suspension, making it more convenient for long-term use.

Most patients begin to see increases in platelet counts within 1-2 weeks of starting Promacta, though it may take up to 4 weeks to see the full effect.

Understanding Promacta (Eltrombopag) Costs

Why Is Promacta So Expensive?

Promacta (eltrombopag) is a specialty medication with a high price tag. Several factors contribute to its cost:

• Research and development costs: Novartis invested significant resources developing and testing Promacta through clinical trials
• Specialty medication classification: Requires specialized manufacturing, storage, and distribution
• Chronic condition treatment: ITP and aplastic anemia are lifelong conditions requiring ongoing therapy
• Targeted patient population: Smaller patient populations mean costs are spread among fewer people

Typical Promacta Costs Without Assistance

Without insurance or copay assistance, patients face substantial expenses. The cost varies by dosage and form, but specialty medications like Promacta typically cost thousands of dollars per month without assistance.

Factors That Affect Your Out-of-Pocket Costs

Your actual Promacta copay depends on several variables:

• Insurance type: Commercial, Medicare Part D, Medicaid, or uninsured
• Formulary tier: Which tier Promacta or eltrombopag falls on in your plan
• Deductible status: Whether you’ve met your annual deductible
• Brand vs. generic: Generic eltrombopag may have lower baseline costs
• Copay assistance programs: Which programs you qualify for and are enrolled in

The good news is that with proper assistance, most patients pay significantly less than retail prices.

Promacta Copay Card Programs Explained

A Promacta copay card is a manufacturer-sponsored program that reduces your out-of-pocket costs at the pharmacy. These programs are available for both brand-name Promacta and generic eltrombopag.

How Promacta Copay Cards Work

The eltrombopag copay card functions like a secondary insurance benefit:

1. You present your copay card along with your insurance card at the pharmacy
2. Your insurance is billed first and determines your copay/coinsurance amount
3. The copay card covers the difference between your insurance copay and a lower amount
4. You pay the reduced amount and take your medication home

Promacta Copay Card Eligibility Requirements

To qualify for a Promacta copay card or eltrombopag copay card, you typically need:

• Commercial (private) health insurance that covers Promacta or eltrombopag
• Valid prescription from a licensed healthcare provider
• U.S. residency
• Treatment for FDA-approved indication (ITP, aplastic anemia, or hepatitis C thrombocytopenia)

Who CANNOT Use Promacta Copay Cards

Federal regulations prohibit manufacturer copay cards for patients with government insurance. You cannot use a Promacta copay card if you have:

• Medicare (Part D or Medicare Advantage)
• Medicaid
• TRICARE or other military insurance
• VA benefits
• Other federal or state healthcare programs

Don’t worry if you have government insurance—alternative assistance programs exist specifically for Medicare and Medicaid patients. We’ll cover these in detail below.

Potential Savings with Promacta Copay Cards

Manufacturer copay programs for Promacta and eltrombopag can provide significant savings for eligible commercially insured patients. The Novartis Universal Co-pay Program is designed to help reduce out-of-pocket costs for qualifying patients.

“We get to know each of our patients personally,” says Leah Thomas, Patient Navigator Director at QuickRx. “Living with a blood disorder is stressful enough. We handle the insurance paperwork, find every available savings program, and make sure our patients can focus on their health—not on how they’re going to pay for their medications.”

Generic Eltrombopag: Same Medication, Lower Price

Generic eltrombopag offers the same therapeutic benefits as brand-name Promacta at potentially lower costs. Understanding your generic options is an important part of managing your Promacta copay.

Is Generic Eltrombopag as Effective as Brand Promacta?

Yes. According to the U.S. Food and Drug Administration (FDA), generic eltrombopag is bioequivalent to brand-name Promacta. This means:

• Same active ingredient: Identical eltrombopag molecule
• Same strengths: Available in 12.5 mg, 25 mg, 50 mg, and 75 mg tablets
• Same dosing: Taken the same way as brand Promacta
• Same effectiveness: FDA-approved therapeutic equivalence
• Same safety profile: Identical side effect expectations

Cost Differences: Brand Promacta vs. Generic Eltrombopag

While both versions are expensive without assistance, generic eltrombopag often provides cost advantages:

• Lower baseline price: Generic medications typically cost less than brand-name equivalents
• Lower formulary tier: Many insurance plans place generics on lower tiers with smaller copays
• Medicare Part D savings: Generic tier placement can significantly reduce costs for Medicare patients

Copay Assistance for Generic Eltrombopag

Eltrombopag copay card programs are available for generic versions as well. QuickRx Specialty Pharmacy helps patients access savings programs for both brand Promacta and generic eltrombopag, ensuring you get the best price regardless of which version you receive.

When you contact QuickRx, we’ll compare costs for both brand and generic options based on your specific insurance and available assistance programs.

Promacta Assistance for Medicare Patients

If you have Medicare, you cannot use manufacturer Promacta copay cards due to federal anti-kickback laws. However, several alternative Promacta copay assistance options exist specifically for Medicare beneficiaries.

Why Medicare Patients Can’t Use Manufacturer Copay Cards

The federal Anti-Kickback Statute prohibits pharmaceutical manufacturers from offering financial incentives (like copay cards) to Medicare and Medicaid beneficiaries. This law applies to:

• Medicare Part D (prescription drug coverage)
• Medicare Advantage plans
• Medicaid programs
• All other federal and state healthcare programs

Alternative Promacta Assistance for Medicare Patients

Medicare patients can access Promacta copay assistance through several alternative channels:

1. Independent Charitable Foundation Grants

Non-profit foundations provide financial grants to help cover medication costs for Medicare patients with blood disorders. These grants can cover:

• Monthly copays and coinsurance
• Annual Part D deductibles
• Coverage gap (“donut hole”) expenses

2. Promacta Patient Assistance Program

Medicare patients who meet income eligibility requirements may qualify for the manufacturer’s patient assistance program, which provides free or low-cost medication.

3. Medicare Extra Help (Low-Income Subsidy)

Federal programs help qualifying low-income Medicare beneficiaries pay for prescription drugs, including specialty medications like Promacta (eltrombopag).

4. State Pharmaceutical Assistance Programs (SPAPs)

Some states offer additional prescription assistance programs for Medicare beneficiaries. Eligibility and benefits vary by state.

Choosing Generic Eltrombopag on Medicare

For Medicare Part D patients, choosing generic eltrombopag instead of brand Promacta can provide significant savings:

• Generics are often placed on lower formulary tiers
• Lower tier placement means smaller copays/coinsurance
• Reduced out-of-pocket costs in the coverage gap
• Faster progression to catastrophic coverage

QuickRx Specialty Pharmacy helps Medicare patients navigate all available assistance options.

Promacta Patient Assistance Programs for Uninsured Patients

If you don’t have health insurance, the Promacta patient assistance program may provide your medication at no cost or significantly reduced prices based on financial need.

How Patient Assistance Programs Work

Manufacturer patient assistance programs (PAPs) provide free medication to qualifying uninsured patients. The eltrombopag patient assistance program typically works like this:

1. Application submission: Patient completes an application with income documentation
2. Eligibility determination: Manufacturer reviews financial need and residency
3. Approval and enrollment: Qualified patients receive medication at no cost
4. Ongoing benefits: Patients receive free medication for a defined period (usually 12 months)
5. Annual re-enrollment: Benefits can be renewed annually with updated documentation

Eligibility for Promacta Patient Assistance

Typical eligibility requirements for the Promacta patient assistance program include:

• No health insurance coverage: Or insurance that doesn’t cover Promacta/eltrombopag
• Income eligibility: Household income below specified thresholds (varies by program)
• U.S. residency: Legal resident of the United States
• Valid prescription: From a licensed healthcare provider

Documentation Required

To apply for Promacta copay assistance through patient assistance programs, you’ll typically need:

• Proof of income (tax returns, pay stubs, Social Security statements)
• Proof of U.S. residency
• Prescription from your healthcare provider
• Completed application form
• Insurance denial letter (if applicable)

“We handle everything so our patients can focus on their health, not paperwork,” says Leah Thomas. “From the initial benefits investigation to ongoing refill support, we’re with you every step of the way.”

QuickRx Specialty Pharmacy handles all patient assistance paperwork at no charge. We gather required documentation, complete applications, and coordinate directly with manufacturers.

Managing Promacta (Eltrombopag) Side Effects

Like all medications, Promacta can cause side effects. Understanding what to expect—and when to seek medical attention—can help you manage your treatment more effectively.

Common Side Effects

The most frequently reported side effects in clinical trials include:

• Nausea: Reported in approximately 9% of patients
• Diarrhea: Affects about 9% of patients
• Headache: A common side effect across all indications
• Fatigue and tiredness: Many patients report feeling more tired than usual
• Fever: More common in pediatric patients
• Cough: Upper respiratory symptoms are frequently reported
• Abnormal liver function tests: Your doctor will monitor liver function regularly
• Low red blood cell counts (anemia): Regular blood tests help monitor this

Serious Side Effects Requiring Immediate Attention

Contact your doctor immediately or seek emergency care if you experience:

Liver Problems (Hepatotoxicity)

Promacta carries a boxed warning about the risk of severe liver damage, particularly in patients with chronic hepatitis C. Watch for these warning signs:

• Yellowing of the skin or whites of the eyes (jaundice)
• Unusually dark urine
• Right upper stomach area pain
• Unusual tiredness or confusion
• Swelling of the stomach area

Blood Clots (Thrombotic/Thromboembolic Events)

Promacta can increase your risk of blood clots, even when platelet counts are normal or low. Seek emergency help for:

• Signs of stroke: Sudden numbness or weakness, severe headache, slurred speech, vision problems
• Signs of blood clot in the lung: Chest pain, sudden cough or shortness of breath, coughing up blood
• Signs of deep vein thrombosis: Pain, swelling, or warmth in one leg
• Signs of abdominal blood clot: Severe stomach pain, nausea, vomiting, diarrhea

Cataracts

New or worsening cataracts have been reported in 5% to 11% of patients in clinical studies. Your healthcare provider should perform a baseline eye examination before starting treatment and monitor your eyes regularly. Report any changes in vision immediately.

Important Drug Interactions

Promacta can interact with several other medications and supplements. Always inform your healthcare provider about everything you take, including:

• Antacids containing calcium, magnesium, or aluminum—take Promacta 2 hours before or 4 hours after these products
• Mineral supplements containing calcium, iron, magnesium, selenium, or zinc—same timing restrictions apply
• Blood thinners such as warfarin, clopidogrel, apixaban, and others
• Statin medications for cholesterol (atorvastatin, rosuvastatin, simvastatin, and others)—your doctor may need to reduce your statin dose

Special Considerations for East Asian Patients

Patients of East Asian or Southeast Asian descent may require lower starting doses of Promacta. This is because studies have shown that these patients may have higher blood levels of eltrombopag at standard doses. Your healthcare provider will determine the appropriate starting dose based on your ancestry and other factors.

How to Apply for a Promacta Copay Card

Applying for Promacta copay card programs and patient assistance can be complex. Here’s a step-by-step guide to help you navigate the process.

Step 1: Determine Your Insurance Status

Your insurance type determines which programs you’re eligible for:

• Commercial insurance: Eligible for manufacturer copay cards
• Medicare: Eligible for foundation grants and patient assistance programs
• Medicaid: Eligible for foundation grants and patient assistance programs
• Uninsured: Eligible for patient assistance programs

Step 2: Gather Required Documentation

Have the following information ready:

• Insurance card(s)
• Prescription information
• Income documentation (for patient assistance programs)
• Healthcare provider contact information

Step 3: Contact QuickRx for Free Enrollment Help

The easiest way to access Promacta copay assistance is to work with a specialty pharmacy that handles enrollment for you. QuickRx provides free assistance with:

• Identifying all programs you qualify for
• Completing application paperwork
• Submitting applications on your behalf
• Following up on pending applications
• Managing annual renewals

Call QuickRx to get started today.

How QuickRx Specialty Pharmacy Helps

Navigating Promacta copay assistance programs can be overwhelming. QuickRx Specialty Pharmacy simplifies the process by handling everything for you—at no cost.

Our Free Services Include:

• Complete eligibility evaluation: We review all available Promacta copay card programs and patient assistance to find every option you qualify for
• Application assistance: We complete all paperwork and submit applications on your behalf
• Insurance verification: We verify your benefits and determine your out-of-pocket costs
• Prior authorization support: We work with your doctor to obtain necessary approvals
• Foundation grant coordination: We monitor funding availability and apply when programs open
• Annual renewal management: We track expiration dates and renew your benefits automatically
• Ongoing support: We’re available for questions and assistance throughout your treatment

Why Choose QuickRx for Your Promacta?

• Specialty pharmacy expertise: We specialize in complex medications like Promacta
• Nationwide service: Licensed in all 50 states with home delivery
• No service fees: We never charge for copay assistance enrollment
• Dedicated patient navigators: Personal support throughout your treatment
• Blood disorder medication expertise: Extensive experience with ITP and aplastic anemia treatments

“Every patient’s situation is unique,” explains Leah Thomas. “Some have commercial insurance but face high copays. Others have Medicare and need help navigating the coverage gap. And some patients are uninsured entirely. We treat each patient like family and find solutions that work for their specific circumstances.”

Get Started Today

Contact QuickRx Specialty Pharmacy for free Promacta copay card enrollment:

• 📞 Call: (917) 830-2525 or (800) 496-6111
• 🌐 Visit: Promacta Copay Assistance Page
• ✉️ Contact us online to get started

Frequently Asked Questions About Promacta Copay Assistance

Additional Resources for ITP & Aplastic Anemia Patients

For more information about Promacta (eltrombopag) and blood disorder support:

Patient Advocacy and Support Organizations

• Platelet Disorder Support Association (PDSA) – ITP patient support, education, and resources
• Aplastic Anemia & MDS International Foundation – Support for aplastic anemia patients and families
• American Society of Hematology Patient Resources – Blood disorder education and support

Medical Information and Treatment Resources

• National Heart, Lung, and Blood Institute – Thrombocytopenia – Comprehensive information about low platelet conditions
• National Heart, Lung, and Blood Institute – Aplastic Anemia – Information about aplastic anemia
• U.S. Food and Drug Administration (FDA) – Official drug information and safety updates
• MedlinePlus – Consumer health information from the National Library of Medicine

Financial Assistance Resources

• QuickRx Specialty Pharmacy – Contact us for free copay assistance enrollment
• Visit our Promacta copay assistance page for detailed program information
• Contact us online to start your application today

Conclusion: You Can Afford Your Promacta Treatment

The cost of Promacta (eltrombopag) shouldn’t prevent you from accessing this life-changing treatment for ITP, aplastic anemia, or hepatitis C-related thrombocytopenia. With the right combination of Promacta copay cards, patient assistance programs, and foundation grants, most patients can significantly reduce their out-of-pocket costs or even receive their medication for free.

Key takeaways to remember:

• Promacta copay card programs can significantly reduce costs for commercially insured patients
• Generic eltrombopag copay assistance is available at potentially lower costs
• Medicare patients can access foundation grants and patient assistance programs
• Uninsured patients may qualify for free medication through patient assistance
• QuickRx provides completely free enrollment assistance for all programs

Don’t let medication costs stand between you and effective treatment. Contact QuickRx Specialty Pharmacy today to start saving on your Promacta prescription.

Take the next step:

📞 Call (917) 830-2525 or (800) 496-6111
🌐 Visit our Promacta copay assistance page
✉️ Contact us online for more information

Together, we’ll ensure you can afford the treatment you need to manage your blood disorder successfully.

References & Sources

1. Promacta (eltrombopag) [prescribing information]. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2025.
2. U.S. Food and Drug Administration. Generic Drug Facts. Available at: https://www.fda.gov/drugs/generic-drugs/generic-drug-facts. Accessed November 2025.
3. National Heart, Lung, and Blood Institute. Thrombocytopenia. Available at: https://www.nhlbi.nih.gov/health/thrombocytopenia. Accessed November 2025.
4. National Heart, Lung, and Blood Institute. Aplastic Anemia. Available at: https://www.nhlbi.nih.gov/health/aplastic-anemia. Accessed November 2025.
5. American Society of Hematology. Patient Resources. Available at: https://www.hematology.org/education/patients. Accessed November 2025.
6. Drugs.com. Promacta Drug Information. Available at: https://www.drugs.com/promacta.html. Accessed November 2025.

Last Updated: November 2025
Reviewed By: QuickRx Clinical Team