KRAZATI

Indicated For

Non-small cell lung cancer (NSCLC), Colorectal cancer (CRC)

About This Medication

# BMS Access Support Co-Pay Assistance Program Guide: Getting KRAZATI at Low Cost ## What is KRAZATI? KRAZATI (adagrasib) is a prescription medication made by Bristol Myers Squibb used to treat: - Non-small cell lung cancer (NSCLC) - Colorectal cancer (CRC) This medication can be expensive, but financial assistance is available to help you afford it. ## About the BMS Access Support Co-Pay Assistance Program The BMS Access Support Co-Pay Assistance Program helps eligible patients pay for KRAZATI by reducing out-of-pocket costs. This program covers co-pays, coinsurance, and deductibles for those who qualify. ## Who is Eligible? ### Insurance Requirements You must have **commercial insurance** to qualify. This program does NOT cover patients with: - Medicare - Medicaid - MediGap - CHAMPVA - TRICARE - Veterans Affairs (VA) benefits - Department of Defense (DoD) coverage If you have one of these insurance types, contact Bristol Myers Squibb directly at (800) 861-0048 to ask about other assistance options. ### Income Requirements Income limits vary by household size and are adjusted yearly. Contact the program directly at (800) 861-0048 to learn the current income limits for your situation. The program staff will explain exactly what income threshold applies to you. ### Other Requirements - You must have a valid prescription for KRAZATI from your doctor - You must be able to provide proof of your commercial insurance ## What You'll Need to Apply Before calling, gather these documents: 1. Your valid KRAZATI prescription 2. Proof of commercial insurance (insurance card or member ID) 3. Current insurance information for benefit investigation ## How to Apply: 4 Easy Steps **Step 1: Call the Program** Contact BMS Access Support at **(800) 861-0048**. The staff will answer questions about eligibility and walk you through the application process. **Step 2: Provide Your Information** Have your insurance information and prescription ready. You'll need to provide: - Your name and contact information - Insurance details (policy number, group number) - Your doctor's name and contact information - Your KRAZATI prescription information **Step 3: Income Verification** Be prepared to verify your household income and size. This helps determine if you meet the program's income requirements. **Step 4: Confirmation** Once approved, you'll receive confirmation details about your assistance and how to use it when filling your prescription at the pharmacy. ## Timeline for Approval The program aims to process applications quickly. Most patients receive decisions within a few business days, though the exact timeline can vary based on the completeness of your application. Ask the program staff for a specific timeline when you apply. ## What Happens When Your Insurance Changes If you change insurance plans, notify the program. You'll need to reauthorize your assistance to make sure coverage continues without interruption. ## Refilling Your Prescription Once approved, your assistance works automatically at the pharmacy when you fill your KRAZATI prescription. You don't need to reapply each time—the program handles ongoing coverage as long as your insurance and circumstances remain the same. ## Additional Help: Savings Card Bristol Myers Squibb also offers a separate **savings card** for KRAZATI. Depending on your insurance and situation, this card might provide additional savings. Ask about this option when you call the program. ## Important Notes - This program is designed for commercially insured patients only - You will need ongoing proof of commercial insurance - If you lose your commercial insurance, you'll no longer be eligible - If your application is denied, ask the program staff why and what options are available to you ## Next Steps 1. **Call today:** (800) 861-0048 2. **Have your documents ready:** prescription, insurance card, income information 3. **Ask questions:** Program staff are available to help 4. **Get approved:** Receive confirmation and start your KRAZATI treatment with reduced costs ## Need More Information? Visit the program website at **https://www.bmsaccesssupport.com/co-pay-financial-assistance** or call **(800) 861-0048** for assistance in your preferred language and additional resources.

Program information last verified: March 25, 2026