KRAZATI

Indicated For

KRAS G12C-mutated NSCLC, KRAS G12C-mutated colorectal cancer

About This Medication

# BMS Access Support Co-Pay Assistance Program Patient Guide: How to Get KRAZATI (adagrasib) at Low or No Cost KRAZATI (adagrasib) is a prescription medication used to treat certain types of advanced lung cancer with specific genetic mutations. The **BMS Access Support Co-Pay Assistance Program**, offered by **Bristol Myers Squibb**, helps **eligible commercially insured patients** reduce out-of-pocket costs for KRAZATI to **as little as $0 per one-month supply**, subject to maximum benefits and restrictions.[1][2][8] ## About KRAZATI (adagrasib) **KRAZATI** is an oral targeted therapy approved for adults with **KRAS G12C-mutated locally advanced or metastatic non-small cell lung cancer (NSCLC)** who have received at least one prior systemic therapy. It works by specifically blocking the **KRAS G12C protein**, a mutated protein that drives cancer cell growth, helping to slow or stop tumor progression. Take it as **600 mg (six tablets) twice daily** with food. Common side effects include nausea, diarrhea, vomiting, fatigue, and liver function changes—discuss with your doctor. Always follow your healthcare provider's instructions, as this guide focuses on access, not medical advice.[1][2] ## Who Qualifies for the Program? This program is designed for **commercially insured patients** facing high out-of-pocket costs like deductibles, co-pays, or co-insurance for select Bristol Myers Squibb (BMS) medications, including KRAZATI. Key eligibility points: - **Commercial insurance only**: Private plans (e.g., employer-sponsored or marketplace insurance).[1][2][7] - **U.S. residents** aged 18 or older.[5] - **Prescribed a qualifying BMS medication** like KRAZATI. - **Out-of-pocket costs**: Program covers eligible expenses up to a **maximum annual benefit** (terms vary; review full details).[8] **Patients with government insurance** (Medicare, Medicaid, TRICARE) are **not eligible**. BMS can connect you to independent charitable foundations for potential help—call 1-800-861-0048.[1][2] ## Income Eligibility Specific **income thresholds** (e.g., Federal Poverty Level percentages) are **not publicly detailed** in program materials. Eligibility focuses primarily on **commercial insurance status** and prescription needs rather than strict income limits. Review full **Terms and Conditions** at www.bmsaccesssupport.com/co-pay-financial-assistance for complete criteria, as restrictions apply.[1][4] | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Not specified | Primarily commercial insurance-based[1] | | Couple | Not specified | Call for personalized review[7] | | Family of 3 | Not specified | Independent foundations for low-income/government insured[1] | | Family of 4+ | Not specified | Maximum benefit limits apply[8] | Contact BMS Access Support for a **benefits review** to check your situation—they complete this in about **24 hours**.[7] ## Insurance Requirements - **Must have commercial insurance** covering KRAZATI.[1][2] - **No government insurance** (Medicare Part D, Medicaid, etc.).[1] - Program helps with **deductibles, co-pays, co-insurance**—not premiums.[8] - BMS offers **benefits investigation** to clarify your coverage, prior authorizations, and appeals support.[3][7] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Verify commercial insurance and KRAZATI prescription. Call **1-800-861-0048** (8 AM–8 PM ET, Mon–Fri) for a **free benefits review** (typically 24 hours).[1][7] 2. **Gather Info**: You'll need your name, insurance details, prescription, and doctor's signature. No extensive documents listed beyond enrollment form.[3][4] 3. **Enroll**: - **Phone**: Call **1-800-861-0048** to start—easiest for patients.[1][4] - **Online**: Visit bmsaccesssupport.com/enrollment for e-enrollment or e-signature.[3][6] - **Fax**: Download form from bmsaccesssupport.com, complete with doctor/patient signatures, fax to **1-888-776-2370**.[3][4] 4. **Activate Co-Pay Card**: Eligible patients get a card for **$0 co-pay** per dose/one-month supply at pharmacy. Restrictions and max benefit apply.[2][8] 5. **Submit**: BMS handles verification. You'll get a **benefits summary** post-review.[3] **Language Support**: Translators available in many languages.[5] ## Timeline and Delivery - **Benefits Review**: ~**24 hours**.[7] - **Approval/Enrollment**: Varies; phone is fastest. Co-pay card activates quickly for use at pharmacy.[2] - **Delivery**: Not a free drug program—**co-pay card used at your pharmacy**. Medication filled normally; program reduces your cost at point-of-sale.[8] - **Refills**: Use card per fill, up to max benefit. Reauthorization details not specified—call for status.[1] ## Alternatives if Denied or Ineligible - **Government Insured**: BMS refers to **independent foundations** (e.g., via 1-800-861-0048). BMS Patient Assistance Foundation (1-800-736-0003) for uninsured/low-income.[1][10] - **Appeals**: BMS helps with insurance prior auth/appeals.[7] - **Other Resources**: Local assistance, generics/biosimilars (none listed for KRAZATI), or state programs. Search PAN Foundation or RxAssist.org. - **Shop Coverage**: Compare plans during open enrollment. ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2025. **Eligibility, terms, and availability can change**—always verify with BMS Access Support at 1-800-861-0048 or bmsaccesssupport.com. Not medical/financial advice. Consult your doctor/pharmacist. Program may have **maximum benefits, exclusions** (e.g., no reimbursement). BMS not liable for coverage denials. Terms at www.bmsaccesssupport.com/co-pay-financial-assistance.[1][4][8] (Word count: 1028)

Program information last verified: March 30, 2026