Healthcare providers can now help patients enroll in LIBTAYO Surround and complete important tasks online
Advantages of the online portal include:
Electronic enrollment in LIBTAYO Surround
Healthcare providers can help patients enroll in LIBTAYO Surround online, reducing faxes and additional paperwork
Patient information is located in one central location to easily track the patient’s treatment journey
Healthcare providers can:
Patient data protection
The password-protected portal is accessible to healthcare providers and permitted staff only
LIBTAYO Surround offers patient support that facilitates access to medication when patients need assistance with out-of-pocket costs. LIBTAYO Surround will help investigate your patients’ eligibility in the following programs:
Eligible patients with commercial insurance may pay as little as $0 for LIBTAYO, which includes any product-specific copay, coinsurance, and insurance deductibles—up to $25,000 in assistance per year.* Conditions apply.
Eligible patients who meet income requirements and are uninsured, lack coverage for LIBTAYO, or have Medicare Part B with no supplemental insurance coverage may receive LIBTAYO at no cost.†
Patients without insurance coverage or patients with inadequate insurance coverage who need assistance with out-of-pocket medication costs may be eligible for alternate funding sources for LIBTAYO.
*Subject to annual maximum copay assistance amount of $25,000. This program is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, Veterans Affairs/Department of Defense, TRICARE, or similar federal or state programs. Not a debit card program. The program does not cover or provide support for supplies, procedures, or any physician-related service associated with LIBTAYO. General non–product-specific copays, coinsurance, or insurance deductibles are not covered. This program only applies to patients who are at least 18 years of age, residents of the United States or its territories or possessions, are prescribed LIBTAYO (cemiplimab-rwlc) for an FDA-approved indication, and are insured by a commercial health plan that requires a copayment, coinsurance and/or deductible amount for LIBTAYO. It is not an insurance benefit. LIBTAYO Surround reserves the right to rescind, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned on any past, present, or future purchase, including refills. This offer is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value. Patients are responsible for any out-of-pocket costs for LIBTAYO that exceed the program assistance limit of $25,000 per year. Program is not valid for cash-paying customers. Additional program conditions may apply.
†Patients must have an annual gross household income that does not exceed the greater of $100,000 or 500% of the federal poverty level (FPL). In 2020, 500% of the FPL was $63,800 for a household of 1; $86,200 for a household of 2; $108,600 for a household of 3; and $131,000 for a household of 4. For households exceeding 4 members, add $22,400 for each additional member.1 These poverty guidelines are for the 48 contiguous states and the District of Columbia and do not include Alaska or Hawaii. Additional program conditions apply.
Patients can contact a LIBTAYO Surround Nurse Advocate 24/7 to receive additional support throughout their treatment journey.
Nurse advocates are patients’ single point of contact who can provide:
Help with financial support to facilitate patient access to LIBTAYO (Copay Program, PAP)
General patient education about LIBTAYO
LIBTAYO Surround provides access and reimbursement support to help your patients receive their medication as quickly as possible. Upon receipt of a LIBTAYO Surround Enrollment Form, a LIBTAYO Surround Reimbursement Specialist may be able to provide several types of assistance.
LIBTAYO Surround provides support for product acquisition and return requests.
You can order LIBTAYO from any of our authorized distributors (buy and bill)
In certain cases, a payer may direct your office, or your office may choose, to obtain LIBTAYO from a specialty pharmacy. We have one contracted specialty pharmacy for dispensing LIBTAYO
Certain health system or hospital-owned specialty pharmacies may order LIBTAYO directly from any of our authorized distributors
For more information, call 1.877.LIBTAYO Monday–Friday, 8 AM–8 PM Eastern time., Option 1,
Download these resources and tools for information on how to facilitate access, coverage, and reimbursement for LIBTAYO.
Information about the options available to help eligible patients access LIBTAYO when they need assistance with out-of-pocket costs.
LIBTAYO Surround provides assistance with access, billing, and reimbursement.