Lenvima

Indicated For

differentiated thyroid cancer, hepatocellular carcinoma, renal cell carcinoma, endometrial carcinoma

About This Medication

# LENVIMA Patient Assistance Program: How to Get Your Medication at Low or No Cost ## About LENVIMA (Lenvatinib) LENVIMA is a prescription medication used to treat several types of cancer, including: - Differentiated thyroid cancer - Hepatocellular carcinoma (liver cancer) - Renal cell carcinoma (kidney cancer) - Endometrial carcinoma (uterine cancer) LENVIMA belongs to a class of drugs called tyrosine kinase inhibitors, which work by blocking proteins that help cancer cells grow. Because LENVIMA is a specialty cancer medication, it can be very expensive. The LENVIMA Patient Assistance Program, run by Eisai (the manufacturer), is designed to help patients who cannot afford this medication. ## Who Can Qualify? The LENVIMA Patient Assistance Program is available to patients who are: - **Uninsured or underinsured** — meaning you don't have insurance coverage for LENVIMA, or your insurance requires you to pay unmanageable out-of-pocket costs - **U.S. residents** — you must live in the United States - **Within income limits** — your household income must not exceed certain thresholds (see income table below) The program helps eligible patients receive LENVIMA at reduced cost or free of charge. ## Income Eligibility Income limits vary based on your household size. Use the table below to see if you may qualify: | Household Size | Maximum Annual Income | |---|---| | 1 person | Varies by state | | 2 people | Varies by state | | 3 people | Varies by state | | 4 people | Varies by state | | 5+ people | Contact program for details | *Note: Income limits vary based on your state of residence. Contact the program at (866) 613-4724 to confirm your specific household's eligibility.* ## Insurance Requirements You may qualify for the LENVIMA Patient Assistance Program if: - You have **no health insurance** - You have health insurance but it **does not cover LENVIMA** - You have insurance that covers LENVIMA but requires **high co-payments or deductibles** that you cannot afford - You are **underinsured** — meaning your insurance coverage is limited If you have Medicare, Medicaid, or other government insurance, you may still qualify for assistance to help pay your co-payments or coinsurance. ## Required Documents Before you apply, gather the following documents: 1. **LENVIMA Eisai Patient Support Enrollment Form** — available from the program or your doctor's office 2. **Valid prescription for LENVIMA** — from your oncologist or healthcare provider 3. **Proof of income** — such as: - Recent tax returns - W-2 forms - Pay stubs - Bank statements - Proof of disability or Social Security benefits 4. **Proof of residency** — such as: - Utility bill - Lease or mortgage statement - Government-issued ID with your current address 5. **Your signature** — on the enrollment form ## Step-by-Step Application Instructions ### Step 1: Confirm Your Eligibility Call the LENVIMA Patient Assistance Program at **(866) 613-4724** to confirm you meet income and insurance requirements. The staff can answer questions about your specific situation. ### Step 2: Get the Enrollment Form Your doctor's office may have the LENVIMA Eisai Patient Support Enrollment Form, or you can: - Visit **https://www.eisaipatientsupport.com/lenvima** - Call **(866) 613-4724** to request the form be mailed to you - Ask your oncologist's office to help you obtain it ### Step 3: Gather Required Documents Collect all documents listed above. Make copies of everything you send — keep originals for your records. ### Step 4: Complete the Enrollment Form - Fill out the form completely and accurately - Have your doctor sign the prescription section - Sign and date the form - Include copies of your proof of income and proof of residency ### Step 5: Submit Your Application You can submit your application in multiple ways: - **Online:** Visit https://www.eisaipatientsupport.com/lenvima - **Phone:** Call (866) 613-4724 to submit over the phone with program staff - **Mail:** Send your completed form and documents by mail (address provided on the form) ### Step 6: Wait for Processing The program typically reviews applications within **4-8 weeks**. You may receive updates via phone or mail. ### Step 7: Receive Your Medication Once approved, LENVIMA will be: - **Shipped directly to you at your home**, OR - **Sent to your doctor's office** for pickup You'll be notified about delivery before your medication arrives. ## What If I'm Denied? If your application is denied, you have options: - **Ask why** — Contact the program to understand the reason for denial - **Appeal** — You may be able to reapply with additional information - **Explore alternatives** — Ask your doctor about other treatment options or financial assistance programs - **Contact patient advocates** — Organizations like CancerCare or Patient Advocate Foundation may offer additional help ## Reauthorization (Annual Renewal) Your assistance is **not permanent**. You must **reauthorize annually** to continue receiving help. The program will contact you when it's time to renew. Failing to renew may result in your assistance ending. ## Timeline for Approval and Delivery - **Application processing:** 4-8 weeks typical - **Approval notification:** You'll be contacted by phone or mail - **Medication shipment:** Usually begins shortly after approval - **Delivery:** Typically arrives within 5-7 business days ## Additional Savings Options In addition to the patient assistance program, check the **manufacturer's website** for a LENVIMA **savings card** that may help reduce your out-of-pocket costs if you have insurance. ## Need Help? **LENVIMA Patient Assistance Program Contact Information:** - **Phone:** (866) 613-4724 - **Website:** https://www.eisaipatientsupport.com/lenvima - **Hours:** Call to confirm phone support hours Program staff can answer questions about eligibility, help you apply, and track your application status. ## Important Legal Disclaimer This guide provides general information about the LENVIMA Patient Assistance Program and is not a guarantee of eligibility or approval. Eligibility requirements, income limits, and program details are subject to change. Always verify current program requirements by contacting the program directly or visiting the official website. This information is current as of the publication date but may not reflect recent updates. Your healthcare provider and the program staff are your best resources for accurate, up-to-date information about your specific situation.

Program information last verified: March 25, 2026