Camzyos

Indicated For

symptomatic obstructive hypertrophic cardiomyopathy, oHCM

About This Medication

# MyCAMZYOS Patient Guide: How to Get Camzyos (mavacamten) at Low or No Cost Camzyos (mavacamten) is a prescription medication from Bristol Myers Squibb for adults with symptomatic obstructive hypertrophic cardiomyopathy (oHCM), specifically New York Heart Association (NYHA) class II-III. The **MyCAMZYOS** patient support program offers tools like co-pay assistance, free trials, and bridge programs to help eligible patients access it affordably, but it is **not a traditional income-based patient assistance program**—most benefits target commercially insured patients.[2][8][9] ## About Camzyos and Why Access Matters **Camzyos** is an oral medication that works by modulating cardiac myosin to address the root cause of oHCM, a condition where the heart muscle thickens, obstructing blood flow and causing symptoms like shortness of breath, chest pain, and fatigue. Unlike symptom-managing treatments, it targets the underlying issue.[9] However, due to risks like heart failure from systolic dysfunction, Camzyos is only available through the **CAMZYOS REMS program**. This requires certified prescribers, pharmacies (like Accredo), and patient enrollment for monitoring, including regular echocardiograms.[2][4][6][9] Accessing Camzyos can be complex and costly without support—list prices are high, but MyCAMZYOS helps bridge gaps. Programs focus on insurance navigation rather than free medication for uninsured/low-income patients. Bristol Myers Squibb does not offer a standard PAP with federal poverty level (FPL) thresholds; instead, third-party services like Simplefill may assist some uninsured patients.[10] ## Who Qualifies for MyCAMZYOS Support? Eligibility varies by program and insurance type: - **All patients (regardless of insurance)**: One-time **35-day free trial** for first-time users with a valid prescription.[2][3][4][8] - **Commercially insured patients** (private/employer plans, not government programs): - **Co-Pay Program**: Pay as little as **$10 per 30-day supply** (terms apply).[1][3][5] - **Bridge Program**: Free Camzyos during insurance delays/denials.[2] - **Echocardiogram Co-Pay Assistance**: Help with required echo costs.[2][7] - **Medicare patients**: No co-pay program; costs average **$38/month**, capped at **$2,100 out-of-pocket yearly** (then $0). Use Medicare Prescription Payment Plan for spreading costs.[3] - **Exclusions**: Not for Medicaid, Medicare Part D, VA, DoD, or residents of certain states like Massachusetts.[5][8] **Note**: No specific income thresholds (e.g., FPL percentages) are listed for manufacturer programs; co-pay eligibility is insurance-based. Household income may be requested for some support or third-party aid.[8][10] ## Income Eligibility Breakdown MyCAMZYOS lacks traditional income limits. Here's a summary: | Patient Type | Key Programs | Income/FPL Threshold | Notes | |--------------|-------------|----------------------|-------| | Uninsured/New Patients | Free Trial (35 days) | None specified | One-time only; valid prescription required.[2][8] | | Commercial Insurance | Co-Pay ($10/month), Bridge, Echo Support | None (insurance-based) | Excludes govt programs; US/PR residents.[1][5] | | Medicare/Public | None from manufacturer | N/A | Avg $38/mo; $2,100 cap. Check Medicare.gov.[3] | | Low-Income/Uninsured | Third-party (e.g., Simplefill) | Varies by program | Manufacturer has no direct PAP; income docs may apply.[10] | ## Insurance Requirements - **Commercial/Private**: Primary eligibility for co-pay/bridge.[1][2][3] - **Medicare/Medicaid**: Ineligible for co-pay; rely on public benefits.[3][5] - **No insurance**: Free trial possible, but ongoing access limited—explore third-party aid.[10] MyCAMZYOS specialists help with benefit verification, prior authorizations (PA), and appeals.[2][4] ## Step-by-Step Application Process 1. **Get Prescribed**: Your cardiologist must be CAMZYOS REMS-certified. Discuss oHCM symptoms and echo results.[6][9] 2. **Enroll in MyCAMZYOS**: Visit camzyos.com/support or call **855-CAMZYOS (855-226-9967)**, 8 AM-8 PM ET, Mon-Fri. Provide contact info, insurance details.[1][2][4] 3. **Pharmacy Coordination**: Prescription goes to certified specialty pharmacy like **Accredo** (877-482-5927).[2] 4. **Apply for Specific Aid**: - **Co-Pay**: Online form or phone; confirm commercial insurance.[1][5] - **Free Trial/Bridge**: Automatic eligibility check during enrollment.[2][8] 5. **Submit Docs**: Prescription, insurance card; income proof rarely needed but possible for audits.[8] 6. **REMS Compliance**: Enroll for monitoring; regular echos required.[6] ## Timeline and Delivery - **Processing**: Varies; co-pay activation quick via form/call. Trial/bridge as needed.[1][2] - **Delivery**: Ships from Accredo or certified pharmacy directly to you/home.[2][4] - **Refills**: MyNurse Navigator sends reminders; reauthorization may apply based on insurance/REMS.[2][7] Expect 1-2 weeks for full setup, faster for trials. ## Alternatives if Denied or Ineligible - **Appeal Insurance Denial**: MyCAMZYOS helps with PA/appeals.[2] - **Bridge Program**: Free supply during delays.[2] - **Third-Party PAPs**: Simplefill (877-386-0206) matches uninsured to programs.[10] - **Medicare Options**: Payment plans, Extra Help (income-based).[3] - **Patient Advocacy**: 4HCM.org for resources; centers of excellence for care.[9] - **Biosimilars**: None available.[ ] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—**always verify with MyCAMZYOS at 855-226-9967 or camzyos.com**. Not medical/financial advice. Consult your doctor for treatment decisions. Programs may have restrictions (e.g., state laws, audits). Bristol Myers Squibb reserves rights to modify/amend.[1][2][3][5][7]

Program information last verified: March 30, 2026