You may be eligible to receive free KALETRA if you:
- Have been prescribed KALETRA
- Have limited or no health insurance coverage
- Live in the United States
- Are being treated by a licensed U.S. health care provider on an outpatient basis
If you have insurance, we will review your qualifying financial need based on a combination of your insurance coverage, household income, and out-of-pocket medical expenses during the application process. To help you understand the income guidelines that we use to evaluate qualifying financial need, we’ve provided the table below:
|Household size||Annual income|
|1||$77,280 or less|
|2||$104,520 or less|
|3||$131,760 or less|
|4||$159,000 or less|
|After 4, add $27,240 for each additional dependent family member|
If you would like to apply, you should work with your healthcare provider to submit a program application. To avoid delays, please follow the instructions on the first page and submit all requested information. Please download the application below.
Program eligibility details
If you have employer-provided insurance coverage or have purchased private insurance on your own, you may qualify for assistance with your out-of-pocket expenses. Visit Kaletra.com.