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COPD & Asthma

Yupelri Assistance Programs & Grants

Assistance information last verified: August 2026

AltaMedicare is an independent Medicare agency in Alpine, Utah, founded by Bret Swope, a licensed Medicare agent. We provide educational, no-pressure help comparing Medicare Advantage, Medigap (Medicare Supplement), and Part D at no cost, serving the entire state of Utah. Call or text (435) 292-5548.

Manufacturer programs, charitable grants and Medicare routes for Yupelri (revefenacin) — each checked on its official source.

Can I get help paying for Yupelri?

The usual answer is the wrong one here. Yupelri is normally a Medicare Part B drug, not a Part D drug, because it is nebulized — so Extra Help does nothing for it and the Part D out-of-pocket cap does not apply. What does work is Medigap, which can take the 20% Part B coinsurance to zero. The manufacturer savings card excludes Medicare, and both COPD charitable funds were closed.

  • Part B, not Part D: Viatris states that "Medicare Part B also covers most nebulizers as durable medical equipment (DME) for patient use at home", that Part B covers 80% of nebulized COPD treatments like Yupelri, and that you pay the remaining 20%.
  • Medigap is the lever: with supplemental coverage Viatris says a patient "may pay as little as $0 out of pocket for YUPELRI". Most Medigap plans cover the Part B coinsurance.
  • Extra Help will NOT reduce your Yupelri cost if it is billed under Part B — it is a Part D subsidy. This is the single most common mistake with nebulized drugs.
  • YUPELRI Savings Card: "not valid for patients covered by Medicare, Medicaid, or any other federal or state-funded healthcare program". Also no longer valid for Massachusetts residents from January 1, 2026, absent a change in state law.
  • Viatris Patient Assistance Program: exists and can be reached at ViatrisPAP@viatris.com or fax 877-427-7290, but Viatris publishes no income limits or Medicare rule for it — recorded as unverified.
  • Charitable grants: TotalAssist's COPD fund and COPD health equity fund both list Yupelri and both were closed ($1,200 guaranteed / $3,500 maximum). HealthWell's COPD – Medicare Access fund was closed. Good Days has no COPD fund.

4 of the 8 programs we checked for Yupelri were accepting applications when verified in August 2026.

About Yupelri (revefenacin)

Yupelri is a once-daily COPD maintenance treatment that comes as a liquid you breathe in through a nebulizer, not as a handheld inhaler. That difference is medical for some people — a nebulizer can be easier if you cannot coordinate a handheld device — and it is financial for everyone on Medicare, because a nebulized drug is usually paid for under Part B rather than Part D. Almost every piece of prescription-assistance advice you have read assumes Part D. For this medication, most of it does not apply.

Approved uses

  • Maintenance treatment of chronic obstructive pulmonary disease (COPD), given once daily through a standard jet nebulizer with a mouthpiece connected to an air compressor

Manufacturer: Viatris

Why Yupelri can be expensive on Medicare

Yupelri is a brand-only medication — DailyMed labels a single revefenacin product, with no generic — and it is used every day indefinitely. But the reason costs surprise people is structural rather than about the price: because it is nebulized, Medicare usually pays for it under Part B, where you owe a straight 20% coinsurance with no annual out-of-pocket cap, rather than under Part D, where the $2,100 cap and Extra Help both apply. A 20% share that never stops accumulating behaves very differently from a copay inside a capped drug benefit.

Medicare coverage context

This is the most important section on the page. Yupelri is an inhalation solution given through a nebulizer, and Medicare covers nebulizers as durable medical equipment (DME) under Part B along with the medications used in them. Viatris states it directly: "Medicare Part B also covers most nebulizers as durable medical equipment (DME) for patient use at home", Part B pays 80% of nebulized COPD treatments like Yupelri, and you are responsible for the remaining 20%. Medicare Advantage plans likewise cover 80%. Three consequences follow, and they run against the standard advice on this site. First, Medicare Extra Help does not help — it is a Part D low-income subsidy and it does not touch a Part B coinsurance. Second, the $2,100 Part D out-of-pocket cap does not apply either, so there is no ceiling on the 20%. Third, the tool that does work is supplemental coverage: Viatris notes that with a Medigap policy a patient "may pay as little as $0 out of pocket for YUPELRI", because most Medigap plans cover the Part B coinsurance. A Medicare Savings Program can help too. Confirm with your supplier and prescriber which benefit your Yupelri is billed under before acting on any of this, because a small number of situations are billed differently.

Check typical Part D coverage · Estimate your drug costs · Compare Part D drug plans

Yupelri assistance options at a glance

Every program we checked, what kind of help it is, whether people with Medicare can use it, and its status when we verified it. A medication being listed by a program is not the same as the program accepting applications.

About the income limits below: Income limits can differ between assistance programs even when both describe their eligibility as the same percentage of the federal poverty level. The dollar limits shown here come from each program's own published income table, and each program decides which year's poverty guidelines that table is built from and when it takes effect. Treat the figures as belonging to the program they are listed under — they are not interchangeable, and only the program can tell you which table it is applying to your application today.

Yupelri assistance programs compared
ProgramType of helpPeople with MedicareStatus (August 2026)
Medicare Part B (durable medical equipment benefit) Government program may apply Accepting applications
Medigap (Medicare Supplement Insurance) — the Part B coinsurance route Government program may apply Accepting applications
Medicare Savings Programs Government program may apply Accepting applications
Viatris Patient Assistance Program Manufacturer patient assistance not stated Check current availability
YUPELRI Savings Card Commercial copay / savings card not eligible Open with limits
TotalAssist — COPD funds Charitable grant may apply Closed to new applicants
HealthWell Foundation — COPD – Medicare Access fund Charitable grant may apply Closed to new applicants
Good Days — no applicable fund Charitable grant not stated No program found
Medicare Extra Help (Part D Low-Income Subsidy) Government program may apply Accepting applications

Manufacturer programs from Viatris

A patient assistance program (free or low-cost drug by income) is not the same as a copay card (a commercial discount that usually excludes Medicare). Both are listed so you can see which one applies to you.

Manufacturer patient assistance

Viatris Patient Assistance Program

Viatris

Check current availability Medicare: not stated

Status: A contact route for the Viatris Patient Assistance Program is published on the Yupelri site — ViatrisPAP@viatris.com and fax 877-427-7290 — but Viatris publishes no income table, no insurance rule and no Medicare rule for it on those pages, and viatris.com/en/patient-support/viatris-advocate returned a 404 error on August 26, 2026. The program's eligibility criteria therefore could not be established.

An honest "we could not confirm this". The contact details are real and worth using; the eligibility rules are not published, and this page will not guess them.

If you have Medicare: Not published. This is a genuine gap rather than an absence of a program: Viatris clearly runs patient assistance and gives a route to it, but the criteria are not on the Yupelri pages. Email or fax and ask three things — whether Medicare beneficiaries may apply, whether the program treats Part B and Part D patients differently, and what the current income limit is. The Part B question matters here in a way it would not for a tablet.

Who may qualify

  • Current income limits and insurance rules: UNVERIFIED — not published on the Yupelri pages, and the Viatris patient-support page returned a 404 on the checked date
  • Confirm directly before applying, and before ruling yourself out

How to apply

Email ViatrisPAP@viatris.com or fax 877-427-7290. You can also call Viatris on 1-800-395-3376. Ask specifically about Yupelri and mention whether your doses are billed under Part B or Part D.

Yupelri coverage and savings FAQs → 1-800-395-3376

Commercial copay / savings card

YUPELRI Savings Card

Viatris

Open with limits Medicare: not eligible

Status: Active for commercially insured patients on August 26, 2026, with one significant restriction beyond the usual: absent a change in Massachusetts law, the program is no longer valid for Massachusetts residents as of January 1, 2026.

A commercial discount for people with private or employer insurance. Recorded so Medicare readers can rule it out immediately, and so anyone approaching 65 knows that their Yupelri support ends when Medicare begins — at which point the Part B and Medigap questions on this page become the relevant ones.

If you have Medicare: Viatris's terms are explicit: "This offer is not valid for patients covered by Medicare, Medicaid, or any other federal or state-funded healthcare program or where prohibited by law." This exclusion holds whether your Yupelri runs through Part B or Part D — being covered by Medicare at all is the disqualifier, not which part pays.

What it can cover: Part of the commercial copay or coinsurance for Yupelri. Not applicable to Medicare cost-sharing.

Who may qualify

  • Commercial (private or employer-sponsored) insurance
  • Not covered by Medicare, Medicaid or any other federal or state-funded healthcare program
  • Not a Massachusetts resident, from January 1, 2026, absent a change in state law

How to apply

Commercially insured patients activate the card at activatethecard.com/yupelri. Medicare beneficiaries should look at Medigap, a Medicare Savings Program, and the Viatris Patient Assistance Program instead.

YUPELRI Savings Card → 1-800-796-9526

Charitable grants for Yupelri

The charitable funds matter more for Yupelri than for the handheld inhalers on this site, for a reason worth understanding. Because Yupelri is usually billed under Medicare Part B, the Part D safety nets — Extra Help and the $2,100 out-of-pocket cap — do not apply to it. The charitable funds do: both TotalAssist and HealthWell pay toward coinsurance, and a Part B coinsurance is a qualifying expense. So the funds are one of the few forms of help here that are indifferent to which Medicare benefit pays. TotalAssist lists "Yupelri (Revefenacin)" on its COPD fund and COPD health equity fund, each $1,200 guaranteed up to $3,500, and both were closed on August 26, 2026; HealthWell's COPD – Medicare Access fund was closed too; Good Days has no COPD fund. Set alerts on both foundations, and in the meantime put your effort into the Medigap question, which is the larger lever.

Charitable grant

TotalAssist — COPD funds

Patient Advocate Foundation · Chronic obstructive pulmonary disease (COPD) · COPD health equity

Closed to new applicants Medicare: may apply

Status: Both COPD funds were closed to new applicants on August 26, 2026, each with a $1,200 guaranteed and $3,500 maximum award. TotalAssist has no waitlist, so the notification sign-up is what gets you in.

"Yupelri (Revefenacin)" is named on the COPD approved-medication list. This is the one charitable route on this page that works regardless of which Medicare benefit pays — which makes it more valuable for Yupelri than the same fund is for a handheld inhaler.

If you have Medicare: These funds require government-insured coverage — Medicare, Medicaid or TRICARE — that covers your qualifying expenses, and they pay toward copays, coinsurance, deductibles and premiums. A Part B coinsurance is a qualifying expense, so unlike Extra Help these funds are genuinely useful for a nebulized drug. Say on your application that Yupelri is billed under Part B.

What it can cover: When open: $1,200 guaranteed award and up to $3,500 maximum for medication copays, coinsurance, deductibles and health-insurance premiums. One grant per condition.

Who may qualify

  • Confirmed COPD diagnosis, in treatment, starting within 60 days, or treated in the past 6 months
  • Government-insured coverage (Medicare, Medicaid or TRICARE) that covers your qualifying expenses
  • Household income at or below 500% of the federal poverty level, adjusted for your regional cost-of-living index
  • Confirmed diagnosis matching the fund, and in treatment (or starting within 60 days, or treated in the past 6 months)
  • Legal U.S. resident receiving treatment in the U.S. or a U.S. territory
  • The health-equity fund additionally requires a home zip code in a designated social-vulnerability county

What the application asks for

  • Contact information and Social Security number (or alien number)
  • Annual household income (for pre-screening; proof of income due within 30 days of approval)
  • Health insurance carrier, plan type, policy ID and group number; Medicare supplement or secondary insurance if you have one
  • Copay or coinsurance amounts
  • Your provider's name and contact information, diagnosis (exact date if within 6 months), prescribed medications and treatment plan

How to apply

Sign up for fund notifications (text, email or automated call) at totalassist.org/notify. When a fund opens: You (the patient) apply online — it takes about 15 minutes and you learn immediately whether you are approved — or call 866-512-3861, Monday–Friday 8:30am–5:30pm ET. Patient Advocate Foundation verifies your diagnosis and treatment plan directly with your provider and verifies income automatically; you have 30 days after approval to provide proof of income.

Get notified when a TotalAssist fund opens → 866-512-3861

Charitable grant

HealthWell Foundation — COPD – Medicare Access fund

HealthWell Foundation · Chronic Obstructive Pulmonary Disease – Medicare Access

Closed to new applicants Medicare: may apply

Status: Closed on August 26, 2026. The only open lung fund on HealthWell's published list was Bronchiectasis, a different diagnosis.

HealthWell runs a COPD fund designed for Medicare beneficiaries; it was closed when we checked. Worth an alert precisely because it is one of the few routes here that is indifferent to the Part B / Part D question.

If you have Medicare: A "Medicare Access" fund built specifically for people with Medicare, and like TotalAssist it pays toward coinsurance — so it works for a Part B Yupelri bill as well as a Part D one.

What it can cover: When open: copays, coinsurance, deductibles and health-insurance premiums for COPD.

Who may qualify

  • A confirmed COPD diagnosis, verified by your prescriber
  • Some form of health insurance (Medicare qualifies) that covers part of the cost of the drug — discount cards do not count
  • Social Security number (used to prevent duplicate applications)
  • Diagnosis verified by a physician's, nurse practitioner's or physician assistant's signature
  • Treatment in the United States

What the application asks for

  • Some form of health insurance (Medicare qualifies) that covers part of the cost of the drug — discount cards do not count
  • Social Security number (used to prevent duplicate applications)
  • Diagnosis verified by a physician's, nurse practitioner's or physician assistant's signature
  • Treatment in the United States

How to apply

When a fund is open, apply online or by phone; your provider verifies the diagnosis by signature. When a fund is closed, sign up for that fund's real-time alerts — HealthWell says replenished funds reopen "as quickly as possible."

HealthWell disease funds and alerts → (800) 675-8416

Charitable grant

Good Days — no applicable fund

Good Days

No program found Medicare: not stated

Status: Good Days' published disease list on August 26, 2026 contained 57 programs and none of them was COPD.

An honest negative, checked so you do not spend time on a third foundation that has no fund for you.

If you have Medicare: Good Days accepts Medicare beneficiaries for the diseases it covers, but it covers no diagnosis that applies to Yupelri.

How to apply

Not applicable today. The diseases-covered page shows every fund Good Days runs.

Good Days diseases covered →

Other government routes

Medicare and state programs that lower prescription costs for people with limited income and resources.

Government program

Medicare Part B (durable medical equipment benefit)

Medicare

Accepting applications Medicare: may apply

Status: The route most Yupelri prescriptions actually run through. Year-round; there is nothing to apply for beyond having Part B and using an enrolled supplier.

Not an assistance program, but the fact that determines which assistance is worth your time. If your Yupelri is billed under Part B, the tools that reduce your cost are the ones that reduce Part B coinsurance — Medigap and Medicare Savings Programs — and not the Part D tools nearly every prescription-assistance page recommends.

If you have Medicare: This IS the Medicare rule for Yupelri, rather than a program with one. Because Yupelri is delivered by nebulizer, Medicare treats it under the Part B durable medical equipment benefit rather than as a Part D prescription. Part B pays 80% after your annual Part B deductible and you owe the other 20%, with no cap on that share. Medicare Advantage plans cover it at the same 80% level, though your out-of-pocket rules will follow the plan. Get this confirmed for your own supply before you plan around it — your prescriber's office or your DME supplier can tell you how your Yupelri is being billed.

What it can cover: 80% of the cost of nebulized COPD medications like Yupelri after the annual Part B deductible, plus the nebulizer itself as durable medical equipment.

Who may qualify

  • Enrolled in Medicare Part B
  • Yupelri prescribed for use at home with a nebulizer
  • Supplied through a Medicare-enrolled durable medical equipment supplier

How to apply

Nothing to apply for. Ask your prescriber to send the prescription to a Medicare-enrolled DME supplier, and confirm with that supplier that they accept Medicare assignment — that limits what you can be charged.

Medicare DME coverage → 1-800-633-4227

Government program

Medigap (Medicare Supplement Insurance) — the Part B coinsurance route

Private insurers, standardised by Medicare

Accepting applications Medicare: may apply

Status: Available year-round to buy, though your right to be accepted regardless of health depends on being inside your Medigap open enrollment period or a guaranteed-issue situation.

The single most effective route for a Yupelri user on Original Medicare, and the one most likely to be missed because it is not a "drug program". If you have Original Medicare without a Medigap policy and you are on a nebulized maintenance drug, this is worth a serious look.

If you have Medicare: Medigap exists specifically to pay costs Original Medicare leaves you, and Part B coinsurance is the first thing every standardised Medigap plan covers. That is why Viatris can say a patient with supplemental coverage "may pay as little as $0 out of pocket for YUPELRI". For a nebulized drug taken indefinitely with no out-of-pocket cap, this is a larger lever than any manufacturer program on this page.

What it can cover: The 20% Part B coinsurance on Yupelri and on other Part B services, depending on the plan letter you choose.

Who may qualify

  • Enrolled in Medicare Part A and Part B
  • Not in a Medicare Advantage plan (Medigap works with Original Medicare)
  • Acceptance is guaranteed during your Medigap open enrollment period; outside it, insurers may use medical underwriting in most states

How to apply

Compare the standardised plan letters and what each covers, then buy from a licensed insurer. AltaMedicare can walk you through which plan letters cover the Part B coinsurance and what your enrollment rights currently are.

Compare Medigap policies → 1-800-633-4227

Government program

Medicare Savings Programs

Your state Medicaid agency

Accepting applications Medicare: may apply

Status: Year-round state programs. Income and resource limits vary by state and by program level.

A state-run route that can cover the Part B coinsurance for people with limited income and resources. Named here because the usual advice — apply for Extra Help — does not solve the Yupelri problem, and this often does.

If you have Medicare: The second Part B tool, and the one that matters if a Medigap premium is out of reach. Depending on which level you qualify for, a Medicare Savings Program can pay your Part B premium and, at the higher levels, your Part B deductible and coinsurance — which is the 20% you owe on Yupelri. Note that qualifying for a Medicare Savings Program also automatically qualifies you for Extra Help, which will not help with a Part B Yupelri bill but will help with everything else you take under Part D.

What it can cover: Part B premiums, and at some levels the Part B deductible and coinsurance.

Who may qualify

  • Limited income and resources — the exact limits vary by state and by program level
  • Enrolled in or eligible for Medicare Part A

How to apply

Apply through your state Medicaid agency. Medicare.gov lists the program levels and the current federal baseline limits; your state may use higher ones.

Medicare Savings Programs → 1-800-633-4227

How to apply for Yupelri assistance

  1. Step 1 — Find the applicable assistance program

    Everything on this page turns on one question you should settle first: is your Yupelri billed under Part B or Part D?

    • Ask your prescriber's office or your DME supplier which Medicare benefit your Yupelri is billed under. Nebulized COPD drugs are usually Part B.
    • If Part B and you have Original Medicare without supplemental coverage → look at a Medigap policy. Viatris says a patient with supplemental coverage may pay as little as $0.
    • Limited income and resources → apply for a Medicare Savings Program through your state, which at some levels covers the Part B coinsurance.
    • COPD diagnosis → set alerts on the TotalAssist and HealthWell COPD funds; these help with Part B coinsurance too.
    • Email ViatrisPAP@viatris.com to ask about the Viatris Patient Assistance Program, whose criteria are not published.
    • Do NOT rely on Extra Help for the Yupelri bill if it is billed under Part B.

  2. Step 2 — Check whether applications are currently open

    The government routes are always open; the charitable ones were closed; the manufacturer route is unverified.

    • Medigap: available year-round to buy, but your right to be accepted regardless of health depends on your enrollment period — check where you stand before assuming you can switch later.
    • Medicare Savings Programs: year-round through your state Medicaid agency.
    • TotalAssist: the COPD and COPD health equity fund pages show "Open" or "Closed" and current award amounts.
    • HealthWell: the disease-funds list shows the COPD – Medicare Access fund and its status.
    • Viatris Patient Assistance: contact by email or fax to confirm it is accepting applications and what the criteria are.

  3. Step 3 — Check eligibility

    The eligibility questions here are mostly about your Medicare setup rather than your income:

    • Medigap: you need Original Medicare (Part A and Part B) and not a Medicare Advantage plan. Guaranteed acceptance applies during your Medigap open enrollment period.
    • Medicare Savings Program: limited income and resources, with limits set by your state.
    • TotalAssist (when open): government insurance covering Yupelri; income at or below 500% FPL adjusted for your regional cost-of-living index; a confirmed COPD diagnosis in treatment.
    • HealthWell (when open): insurance that covers part of the drug's cost, a prescriber-verified COPD diagnosis, and treatment in the United States.
    • Viatris Patient Assistance: UNVERIFIED — ask whether Medicare beneficiaries qualify and whether Part B and Part D patients are treated differently.
    • YUPELRI Savings Card: commercial insurance only, and not for Massachusetts residents from January 1, 2026.

  4. Step 4 — Gather your information

    One document here is unusual and worth chasing early:

    • Written confirmation of how your Yupelri is billed — Part B DME or Part D. Your supplier or prescriber's office can tell you, and it decides which of the routes above is worth your time.
    • Medicare card, and details of any Medigap policy or Medicare Advantage plan you hold.
    • Your COPD diagnosis and its date. TotalAssist needs the exact date if it was within the past 6 months.
    • Household size and annual household income, plus proof.
    • The name of your durable medical equipment supplier, and whether they accept Medicare assignment.

  5. Step 5 — Complete the application

    Who does what:

    • Medigap: you apply directly to a licensed insurer. AltaMedicare can compare plan letters with you at no charge.
    • Medicare Savings Program: you apply to your state Medicaid agency.
    • TotalAssist (when open): you apply online in about 15 minutes or by phone on 866-512-3861 — state that Yupelri is billed under Part B if it is.
    • HealthWell (when open): apply online or by phone; your provider verifies the diagnosis by signature.
    • Viatris Patient Assistance: email ViatrisPAP@viatris.com or fax 877-427-7290 to request the current form and criteria.

  6. Step 6 — Submit and wait for a determination

    What to expect:

    • Medigap: insurers decide on the application; if you are inside your open enrollment period, acceptance does not depend on your health.
    • Medicare Savings Program: your state notifies you; approval also brings Extra Help automatically.
    • TotalAssist (when open): an immediate online decision, with proof of income due within 30 days of approval.
    • Viatris Patient Assistance: unverified timeframe — ask when you make contact.

  7. Step 7 — If the program is closed or you don't qualify

    The Part B structure gives you different levers than a Part D drug would:

    • Make sure your DME supplier accepts Medicare assignment. A supplier who does not can charge more than the Medicare-approved amount, which raises your 20% share.
    • Ask your prescriber whether a handheld inhaler would suit you. Handheld COPD inhalers are Part D drugs, where Extra Help and the $2,100 cap apply — but this is a clinical decision, and for some people a nebulizer is easier to use correctly, so it needs their judgement rather than a cost calculation.
    • If you are in a Medicare Advantage plan, check your plan's DME cost-sharing and its out-of-pocket maximum, which works differently from Original Medicare.
    • Sign up for TotalAssist and HealthWell alerts on the COPD funds — these do help with Part B coinsurance.
    • Do not wait for a generic: DailyMed labels a single revefenacin product.
    • Call AltaMedicare — the Medigap comparison is exactly the kind of thing we do free, and for this medication it is usually the biggest saving available.

What you'll need

Only items the programs above actually ask for. Gather these before you start.

  • Medicare card and your Part D or Medicare Advantage drug-plan card — plan name, member ID and group number
  • Prescription details — medication name, strength and dose; prescriber name, office phone and address
  • Diagnosis and date of diagnosis — TotalAssist needs the exact date if diagnosed within the past 6 months
  • Household size and annual household income — and proof — tax return, Social Security or pension statements, or pay stubs
  • Confirmation of whether your Yupelri is billed under Medicare Part B or Part D — this single fact decides which routes on this page apply to you — ask your DME supplier or prescriber's office
  • Details of any Medigap policy you hold, including the plan letter — most Medigap plans cover the Part B coinsurance that Yupelri generates
  • Your durable medical equipment supplier's name, and whether they accept Medicare assignment — a supplier who does not can charge above the Medicare-approved amount

If assistance is unavailable

A closed fund or a denial is not the end of the road. Check these next:

  1. Compare Medigap policies. Because Yupelri usually falls under Part B, a Medigap plan that covers the Part B coinsurance is the largest single saving available — Viatris says a patient with supplemental coverage may pay as little as $0. Compare Medigap policies
  2. Apply for a Medicare Savings Program through your state. At some levels these pay the Part B deductible and coinsurance — which Extra Help does not. Medicare Savings Programs
  3. Sign up for TotalAssist fund notifications so you hear the moment a COPD fund reopens — these grants pay toward coinsurance, so they work for a Part B bill. TotalAssist notifications
  4. Sign up for HealthWell fund alerts for the same reason; HealthWell says closed funds reopen as funding is replenished. HealthWell disease funds
  5. Ask your doctor's office — many practices have staff who handle assistance applications routinely and can confirm how your nebulized medication is being billed.
  6. Call AltaMedicare. For a Part B drug the useful conversation is about supplemental coverage rather than drug plans, and that is work we do free. Medigap plans explained

Could Medicare Extra Help reduce your Yupelri costs?

Extra Help is not a grant for Yupelri. It is a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription — so it is worth checking even when a charitable fund is closed, because it does not depend on fund balances.

Read this before applying for Extra Help on account of Yupelri: if your Yupelri is billed under Medicare Part B, as nebulized COPD drugs usually are, Extra Help will not reduce what you pay for it. Extra Help is the Part D Low-Income Subsidy — it lowers Part D premiums, deductibles and copays, and a Part B coinsurance is none of those things. That does not make Extra Help worthless: it will still lower the cost of every Part D medication you take, and qualifying for a Medicare Savings Program brings Extra Help with it automatically. But for the Yupelri bill specifically, the tools are Medigap and a Medicare Savings Program. This is the most common and most expensive misunderstanding about nebulized drugs on Medicare, which is why it is spelled out here rather than left implied.

In 2026, people with full Extra Help generally pay no more than $12.65 for a covered brand-name drug. Income must be below about $23,940 a year for one person ($32,460 for a couple) and countable resources under $18,090 ($36,100 for a couple). Apply free through Social Security — online, by phone at 1-800-772-1213, or in person — and never pay anyone to apply for you.

Extra Help explained · Medicare Savings Programs · Estimate your drug costs · Free prescription cost review

Government program

Medicare Extra Help (Part D Low-Income Subsidy)

Medicare / Social Security Administration

Accepting applications Medicare: may apply

Status: Year-round federal program (figures for 2026)

Not a grant for one drug — a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription.

If you have Medicare: For people with Medicare Part D or a Medicare Advantage drug plan who have limited income and resources.

What it can cover: Part D premium and deductible (often to $0) and reduced copays — generally no more than $12.65 for a covered brand-name drug in 2026 with full Extra Help.

Who may qualify

  • Income below 150% of the federal poverty level — about $23,940 a year for one person or $32,460 for a married couple in 2026.
  • Countable resources (savings, investments — not your home or car) limited to $18,090 for an individual or $36,100 for a married couple living together in 2026 (Medicare.gov figures, which include a burial-expense allowance).
  • Automatic if you have Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program.

What the application asks for

  • Social Security number and Medicare number
  • Income (Social Security, pensions, wages) for you and a spouse you live with
  • Value of savings, investments and other countable resources

How to apply

You (or someone helping you) apply free through Social Security — online, by phone, or at a Social Security office. There is never a fee to apply.

Apply for Extra Help at SSA.gov → 1-800-772-1213

Key terms on this page

Patient assistance program (PAP)
A manufacturer program that provides its medication free or at low cost to people who meet income and insurance rules. Many PAPs accept Medicare Part D enrollees; each sets its own criteria.
Copay card / savings card
A manufacturer discount for commercially insured patients. Federal anti-kickback rules mean these cards generally cannot be used with Medicare, Medicaid or other government insurance.
Charitable copay grant
Money from a nonprofit foundation (for example HealthWell or Patient Advocate Foundation) that pays eligible copays or coinsurance for a specific diagnosis. A drug can be listed while the fund is closed to new applicants.
Federal poverty level (FPL)
A federal income measure that assistance programs use as a yardstick — "300% of FPL", "500% of FPL". The percentage is a rule, but the dollar figure behind it comes from a table each program publishes itself, built on a chosen year of the HHS poverty guidelines. Two programs can quote the same percentage in the same year and still list different dollar limits; compare each program against its own table, not against another program.
Medicare Extra Help
The Part D Low-Income Subsidy: a Medicare program that lowers or eliminates Part D premiums, deductibles and copays for beneficiaries with limited income and resources. You apply through Social Security.
Maximum Fair Price (MFP)
The price Medicare negotiated for a selected drug under the Medicare Drug Price Negotiation Program. It applies to Part D plans, not to the pharmacy cash price, and it lowers what plans and enrollees pay for that drug.

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Common Questions

Yupelri assistance FAQ

Does Medicare cover Yupelri?
Yes, but usually under Part B rather than Part D. Yupelri is a solution you breathe in through a nebulizer, and Medicare covers nebulizers as durable medical equipment along with the drugs used in them. Viatris states that "Medicare Part B also covers most nebulizers as durable medical equipment (DME) for patient use at home", that Part B covers 80% of nebulized COPD treatments like Yupelri, and that you pay the remaining 20%. Medicare Advantage plans cover it at the same 80% level. Confirm how your own supply is billed with your prescriber's office or DME supplier.
Will Medicare Extra Help lower my Yupelri cost?
Not if your Yupelri is billed under Part B, and that is the usual case. Extra Help is the Part D Low-Income Subsidy: it lowers Part D premiums, deductibles and copays. A Part B coinsurance is none of those, so Extra Help does not touch it. This is the most common and most expensive misunderstanding about nebulized drugs on Medicare. Extra Help is still worth having for your other medications, and qualifying for a Medicare Savings Program brings it automatically — but for the Yupelri bill, Medigap and a Medicare Savings Program are the tools.
How do I get my 20% Yupelri coinsurance down to zero?
Supplemental coverage is the usual answer. Most standardised Medigap policies cover the Part B coinsurance, which is why Viatris can say that with a Medigap policy a patient "may pay as little as $0 out of pocket for YUPELRI". If a Medigap premium is out of reach, a Medicare Savings Program can cover the Part B deductible and coinsurance at some levels. And unlike Extra Help, the TotalAssist and HealthWell COPD grants do pay toward coinsurance, so they work for a Part B bill when they reopen.
Is there a Yupelri patient assistance program for people on Medicare?
Viatris runs a patient assistance program and publishes a contact route for it on the Yupelri site — ViatrisPAP@viatris.com, fax 877-427-7290 — but it does not publish the income limits, the insurance rules or any Medicare rule for it on those pages, and the Viatris patient-support page we tried returned a 404 error on August 26, 2026. So the honest answer is that a program exists and its criteria could not be established. Email or fax and ask whether Medicare beneficiaries qualify and whether Part B and Part D patients are treated differently — that last question matters more for Yupelri than for most medicines.
Can I use the Yupelri savings card with Medicare?
No. Viatris's terms say "This offer is not valid for patients covered by Medicare, Medicaid, or any other federal or state-funded healthcare program or where prohibited by law." Being covered by Medicare is the disqualifier, so it makes no difference whether your Yupelri runs through Part B or Part D. One further restriction worth noting even for commercially insured readers: absent a change in Massachusetts law, the savings program is no longer valid for Massachusetts residents as of January 1, 2026.
Is there a generic for Yupelri?
No. DailyMed lists a single labelled revefenacin product, Viatris's Yupelri. There is no generic version. If cost is the obstacle, the conversation worth having with your prescriber is not about a generic but about whether a handheld inhaler would suit you — those are Part D drugs, where Extra Help and the $2,100 out-of-pocket cap apply. That is a clinical decision, though: for some people a nebulizer is genuinely easier to use correctly. See all prescription assistance options.

Sources

Related resources

Assistance information last verified August 2026. Program details — fund status, eligibility, prices, phone numbers — change often; confirm with each program before applying. AltaMedicare does not administer, fund or approve any assistance program. Not medical advice.

Having trouble figuring out your prescription costs?

Bret can help you understand your Medicare prescription coverage and where to look for Yupelri assistance — free, no pressure. We don't award grants or decide eligibility; the programs above do. We help you find and apply to the right ones.

Text Bret About Yupelri Call (435) 292-5548