Jaypirca

Indicated For

CLL, MCL

About This Medication

# Jaypirca (pirtobrutinib) Patient Guide: How to Get Jaypirca at Low or No Cost Jaypirca (pirtobrutinib) is a targeted therapy medication from Eli Lilly used to treat certain blood cancers, and Eli Lilly offers several patient assistance options like the **Jaypirca Savings Card**, **Jaypirca Interim Access Program**, and **Lilly Cares** to help reduce or eliminate costs based on your insurance status.[1][2][4] This guide explains who qualifies, eligibility details, application steps, and more to help you access Jaypirca affordably. Always consult your doctor or pharmacist for personalized advice. ## About Jaypirca (pirtobrutinib) **Jaypirca** is a prescription medicine known as a non-covalent Bruton's tyrosine kinase (BTK) inhibitor. It is FDA-approved for adults with: - Relapsed or refractory mantle cell lymphoma (MCL) after at least two prior lines of therapy, including a BTK inhibitor. - Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after prior BTK inhibitor therapy.[1][7][9] It works by blocking proteins that cancer cells need to grow, helping to slow disease progression. Jaypirca is taken orally as tablets (50 mg or 100 mg), typically once daily, with or without food. Common side effects include diarrhea, fatigue, bruising, and infections—discuss risks with your oncologist.[1] Your doctor will prescribe it through a specialty pharmacy, as it's a high-cost specialty drug often requiring prior authorization from insurance.[3][6] ## Who Qualifies for Assistance? Eli Lilly provides multiple programs tailored to your situation. Here's a breakdown: - **Jaypirca Savings Card**: For **commercially insured** patients (private insurance, not government plans). Pay as little as **$0 per month** for up to 12 fills per year (max $9,200 savings).[1][4] - **Jaypirca Interim Access Program**: Free 15-day supply (up to 4 total) for **newly prescribed, insured patients** facing coverage delays. Available to commercial or government-insured (including Medicare).[3][4][5] - **Lilly Cares Foundation**: Free medication for **uninsured, underinsured, Medicare/Medicaid** patients who meet income guidelines (often up to 400-500% FPL, but call to confirm).[2][4] **Key exclusions**: Savings Card excludes government beneficiaries like Medicare, Medicaid, VA, TRICARE.[1] ## Income Eligibility Breakdown Income limits vary by program. Lilly Cares has Federal Poverty Level (FPL) thresholds; others focus on insurance type rather than income. | Household Size | Lilly Cares (up to ~400-500% FPL)* | Notes | |---------------|------------------------------------|-------| | Individual | ~$60,000-$75,000/year | Varies; call 1-800-545-5979 [2] | | Couple | ~$80,000-$100,000/year | Uninsured/underinsured focus [4] | | Family of 3 | ~$100,000-$125,000/year | Exact % FPL not specified [2] | | Family of 4 | ~$120,000-$150,000/year | Confirm via phone [2][4] | *Estimates based on 2026 FPL; programs like Savings Card have **no income limits** if commercially insured.[1][2] Contact programs for current thresholds, as they update annually. ## Insurance Requirements - **Commercial/Private Insurance**: Eligible for Savings Card ($0 copay) and Interim Access. Must cover Jaypirca and be for FDA-approved use. No alternate funding programs (AFP).[1][3] - **Medicare/Medicaid**: Excluded from Savings Card; use Interim Access or Lilly Cares. Medicare patients may qualify for Extra Help or foundation support via Lilly Support Services.[1][2][4] - **Uninsured**: Lilly Cares primary option.[2] Specialty pharmacies like Accredo often handle benefits checks and prior authorizations.[3][6] ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Confirm prescription and ask them to send it to a specialty pharmacy (e.g., Accredo). They can initiate benefits investigation via Lilly Oncology Support Center.[3] 2. **Choose Your Program**: - Savings Card: Visit jaypirca.lilly.com/savings-support or call **1-833-727-4589** to activate.[1] - Interim Access: Doctor completes Accredo referral form (Section 7).[3] - Lilly Cares: Call **1-800-545-5979** or apply online via Lilly Cares site.[2] 3. **Gather Documents**: - Proof of income (tax returns, pay stubs). - Insurance card/ID. - Prescription. - Doctor's statement of medical need.[2][3] 4. **Submit**: Doctor/specialty pharmacy often handles; patient signs enrollment.[1][3] 5. **Follow Up**: Specialty pharmacy calls to schedule delivery and confirm eligibility.[1] ## Timeline and Delivery - **Savings Card**: Instant activation; applies at pharmacy fill (30-day supply).[1] - **Interim Access**: 15-day supply ships quickly (days) via program pharmacy; up to 3 more if delays.[3] - **Lilly Cares**: Processing 2-4 weeks; medication shipped free to your home or doctor's office.[2] Delivery is via specialty pharmacy—expect a call from an unknown number. Refills auto-processed if eligible.[1][3] ## Alternatives if Denied - Appeal insurance denial (e.g., prior authorization via CoverMyMeds).[6][7] - Independent foundations via Lilly Support Services (1-800-545-5979); availability weekly.[2] - Patient Access Resource Guide for more options.[2] - Biosimilars: None currently available for pirtobrutinib.[ ] - Generic alternatives: None; it's a newer BTK inhibitor.[9] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Program details change; eligibility not guaranteed. Not medical/financial advice—consult healthcare provider, pharmacist, or program directly. Eli Lilly not affiliated with third-party sites. Terms/conditions apply.[1][2][3]

Program information last verified: March 30, 2026