Pompe

Pompe - Privately Insured

Open Check eligibility and apply

According to the U.S. National Library of Medicine, Pompe disease is an inherited disorder caused by the buildup of a complex sugar called glycogen in the body’s cells. The accumulation of glycogen in certain organs and tissues, especially muscles, impairs their ability to function normally. The classic form of infantile-onset Pompe disease begins within a few months of birth. The non-classic form of infantile-onset Pompe disease usually appears by age one and the late-onset type of Pompe disease may not become apparent until later in childhood, adolescence, or adulthood. 

Assistance Information

Dollar cap is shared across assistance types.

Other Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $8,500
Medical Expenses Open $8,500
Travel Expense Open $500

Private Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $8,500
Medical Expenses Open $8,500
Premium Open $8,500
Travel Expense Open $500

Diagnosis Codes

  • E74.02 Pompe disease

Covered Medications

  • Alglucosidase Alfa
  • Lumizyme
  • Avalglucosidase Alfa-ngpt
  • Nexviazyme
  • migLUstat (GAA Deficiency)
  • Opfolda
  • Cipaglucosidase Alfa-atga
  • Pombiliti

Pompe - Publicly Insured

Open Check eligibility and apply

According to the U.S. National Library of Medicine, Pompe disease is an inherited disorder caused by the buildup of a complex sugar called glycogen in the body’s cells. The accumulation of glycogen in certain organs and tissues, especially muscles, impairs their ability to function normally. The classic form of infantile-onset Pompe disease begins within a few months of birth. The non-classic form of infantile-onset Pompe disease usually appears by age one and the late-onset type of Pompe disease may not become apparent until later in childhood, adolescence, or adulthood. 

Assistance Information

Dollar cap is shared across assistance types.

Public Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $10,000
Medical Expenses Open $10,000
Premium Open $10,000
Travel Expense Open $500

Diagnosis Codes

  • E74.02 Pompe disease

Covered Medications

  • Alglucosidase Alfa
  • Lumizyme
  • Avalglucosidase Alfa-ngpt
  • Nexviazyme
  • migLUstat (GAA Deficiency)
  • Opfolda
  • Cipaglucosidase Alfa-atga
  • Pombiliti