LIBTAYO Surround™ logo
patient access and reimbursement support program

LIBTAYO Surround helps eligible patients access LIBTAYO and navigate the health insurance process. Click here to download additional tools and helpful resources about LIBTAYO Surround offerings.

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LIBTAYO Surround Provider Portal

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

All-in-one repository

Patient information is located in one central location to easily track the patient’s treatment journey

Support resources

Healthcare providers can:

  • Access LIBTAYO Surround resources, links, and forms directly from the portal
  • Receive alerts and notifications related to the patient’s treatment journey

Patient data protection

The password-protected portal is accessible to healthcare providers and permitted staff only

LIBTAYO Surround financial support programs

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:

Commercial Copay Program

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.

  • There is no income requirement to qualify for this program
Patient Assistance Program (PAP)

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.

Nurse support

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)

Information on:
  • Patient advocacy groups and local support organizations
  • Transportation services
  • Travel and lodging

General patient education about LIBTAYO

Appointment reminders

Access and reimbursement support

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.

Benefits investigations, which address:

  • How LIBTAYO will be covered under your patient’s health plan
  • Additional coverage information to facilitate your patient’s access to LIBTAYO
  • Acquisition options (buy and bill or specialty pharmacy)
  • A patient’s eligibility for financial assistance

Additional service offerings, including:

  • Prior authorization (PA) assistance to review and explain payer requirements
  • Appeal assistance when PA is denied
  • Claims assistance to address questions as you prepare claims and to review the status of claims with your patient’s health insurer

Product support

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

You can access an array of patient support services through LIBTAYO Surround

For more information, call 1.877.LIBTAYO (1.877.542.8296)(1.877.542.8296), Option 1, Monday–Friday, 8 AM–8 PM Eastern time.

  1. Office of the Assistant Secretary for Planning and Evaluation. Poverty guidelines. US Department of Health and Human Services website. Accessed July 28, 2020.