KYMRIAH

Indicated For

Acute lymphoblastic leukemia (B-cell, relapsed/refractory), Diffuse large B-cell lymphoma (relapsed/refractory)

About This Medication

# KYMRIAH CARES Patient Guide: How to Get KYMRIAH (tisagenlecleucel) at Low or No Cost KYMRIAH CARES is Novartis's patient support program offering financial assistance, travel support, and access to **KYMRIAH (tisagenlecleucel)** for eligible patients with limited or no insurance. This guide explains eligibility, application steps, and support options in simple terms. ## About KYMRIAH (tisagenlecleucel) **KYMRIAH** is a specialized cell therapy used to treat certain blood cancers, like relapsed or refractory B-cell acute lymphoblastic leukemia (ALL) in children and young adults, diffuse large B-cell lymphoma (DLBCL), and follicular lymphoma in adults. It's a type of CAR-T therapy where your own T-cells are collected, modified in a lab to fight cancer, and infused back into your body. Treatment happens at certified centers, and it's a one-time infusion—not daily pills. Because it's complex and expensive, programs like KYMRIAH CARES help make it accessible[1][2][3]. Always talk to your doctor about risks, like side effects (e.g., cytokine release syndrome), and if KYMRIAH is right for you. ## Who Qualifies for KYMRIAH CARES? This program helps **U.S. citizens or legal residents** with a valid prescription for KYMRIAH from a licensed U.S. healthcare provider, treated outpatient at a certified center. Key requirements include: - **Limited or no insurance coverage**: Best for uninsured or underinsured patients[6]. - **Specific income guidelines**: Exact thresholds aren't publicly listed but based on financial need; call to check[1][6]. - **KYMRIAH order or prescription**: Must be for an FDA-approved use[7][10]. Patients meeting these get help with medication costs, plus travel, lodging, and meals if eligible[6]. ## Income Eligibility Breakdown KYMRIAH CARES uses income guidelines similar to federal poverty levels (FPL), but details are case-by-case. Public info doesn't specify exact numbers—contact the program for your situation. Here's a general example based on typical programs (confirm with KYMRIAH CARES): | Household Size | Annual Income Limit (e.g., ~400-500% FPL) | Notes | |----------------|-------------------------------------------|-------| | 1 (Individual) | Up to ~$60,000-$75,000 | Varies by state; Alaska/Hawaii higher | | 2 (Couple) | Up to ~$80,000-$100,000 | Exact limits not public; call to verify | | 3 | Up to ~$100,000-$125,000 | Income proof required | | 4 | Up to ~$120,000-$150,000 | Includes travel aid for low-income | *These are estimates; program reviews household income, assets, and expenses.* Call (844) 459-6742 for precise eligibility[4][6]. ## Insurance Requirements You need **limited or no insurance** coverage for KYMRIAH. If insured, the program checks if your plan covers little/none of the cost. Medicare patients may qualify if they meet income rules and lack sufficient coverage—work with your treatment center. Commercial insurance co-pays might get help via separate Novartis co-pay cards, but KYMRIAH CARES focuses on uninsured/underinsured[1][3][6]. ## Step-by-Step Application Process 1. **Get a Prescription**: Your doctor prescribes KYMRIAH for an approved use and identifies a certified treatment center. 2. **Contact KYMRIAH CARES**: Call **(844) 459-6742** (8 AM-8 PM ET, Mon-Fri) to start. They'll assign a case manager[1][2]. 3. **Submit Service Request Form**: Your treatment center completes and submits the **Service Request Form for Patient Support** with your details[7][10]. 4. **Provide Documents**: Upload/send: - Valid KYMRIAH prescription - Proof of U.S. citizenship/legal residency (e.g., driver's license, green card) - Income proof (tax returns, pay stubs) - Insurance details (or proof of no coverage)[6] 5. **Eligibility Review**: Program follows up with you and your doctor on benefits. 6. **Approval**: If approved, medication ships to your center; travel aid arranged if needed. Your case manager guides you end-to-end[3]. ## Timeline and Delivery - **Processing**: About **4 weeks** from complete application[4]. - **Delivery**: KYMRIAH goes directly to your certified treatment center for infusion. No home delivery—it's a controlled therapy. - **Travel/Lodging**: Eligible patients get help with travel to/from center, hotel, and meals[6]. Plan ahead; T-cell collection and manufacturing take weeks/months total. ## Alternatives if Denied - **Appeal**: Ask why and resubmit missing info. - **Novartis Patient Assistance Foundation (NPAF)**: Free meds for uninsured meeting income rules (similar process, 4-week review)[4]. - **Other Charities**: CancerCare for financial aid/support groups[8]. - **State Programs**: Check Medicaid or local assistance. - **Treatment Center Help**: Many offer billing support or payment plans. Call KYMRIAH CARES for personalized options. ## Important Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, benefits, and terms can change; Novartis reserves rights to modify/discontinue. Always verify with KYMRIAH CARES at (844) 459-6742 or your healthcare provider. Consult your doctor before starting treatment. Novartis doesn't guarantee coverage[1][4]. (Word count: 912)

Program information last verified: March 30, 2026