Libtayo

Indicated For

CSCC, BCC, NSCLC

About This Medication

# LIBTAYO Surround Patient Assistance Program Patient Guide: How to Get Libtayo (cemiplimab-rwlc) at Low or No Cost Libtayo (cemiplimab-rwlc) is a prescription immunotherapy drug used to treat certain types of advanced cancers, such as cutaneous squamous cell carcinoma, basal cell carcinoma, and non-small cell lung cancer. The **LIBTAYO Surround Patient Assistance Program (PAP)** from Regeneron Pharmaceuticals helps eligible uninsured, underinsured, or Medicare patients get Libtayo at no cost if they meet income and other criteria[1][2][5]. ## About Libtayo Libtayo is an intravenous PD-1 inhibitor that helps your immune system fight cancer cells. It's FDA-approved for adults with specific cancers when other treatments aren't suitable. Always consult your doctor for personalized advice on whether Libtayo is right for you. This guide focuses on the financial support program, not medical details[2]. ## Who Qualifies for the LIBTAYO Surround PAP? The PAP targets patients facing high costs due to lack of coverage. Key eligibility includes: - **Insurance status**: Uninsured, underinsured (insurance doesn't cover Libtayo), or Medicare patients unable to afford out-of-pocket costs[1][2][4][5]. - **Residency**: 18+ years old, living in the US, its territories, or possessions, treated by a US provider[2][5]. - **Income**: Must show financial need based on household income limits (specific thresholds not publicly detailed; program evaluates case-by-case)[1][5]. - **Enrollment**: Sign the LIBTAYO Surround Enrollment Form, including patient certifications and health info authorization[1][5]. **Note**: This is separate from the Commercial Copay Program, which requires private insurance and has no income limit but excludes government programs like Medicare[1][7]. Massachusetts and Rhode Island residents may have restrictions on some benefits[2]. ## Income Eligibility Breakdown Exact income thresholds (e.g., % of Federal Poverty Level) aren't specified in program materials, but eligibility requires demonstrating 'financial need based on annual household income criteria.' Contact LIBTAYO Surround for your situation. Here's a general table based on typical PAP structures (confirm with program as limits apply)*: | Household Size | Estimated Max Annual Income | Notes | |---------------|-----------------------------|-------| | 1 person | Program evaluates | Based on household income; proof required[1][5] | | 2 people | Program evaluates | Annual criteria; reapply yearly[2] | | 3 people | Program evaluates | US residents only[5] | | 4+ people | Program evaluates | Subject to program conditions[1] | *Table illustrative; call (877) 542-8296 for precise limits. No income req for Copay Program[1][7]. ## Insurance Requirements - **Eligible**: No insurance, underinsured (partial/no Libtayo coverage), or Medicare (Part B, no supplemental if costs unaffordable)[2][4][5]. - **Not eligible**: Commercial insurance users should use Copay Program instead. Program invalid for Medicaid, VA, TRICARE, etc.[1][2][7]. Your Patient Navigator will verify coverage[3]. ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm Libtayo prescription and ask them to start enrollment or provide support letter. 2. **Contact LIBTAYO Surround**: Call **(877) 542-8296** (Mon-Fri, 8 AM-8 PM ET, Option 1) or visit **surroundenrollment.com** (also LIBTAYOSurround.com)[1][7]. Patient Navigators guide you. 3. **Complete Enrollment Form**: Download from site or get via phone. Sign twice in Section 1 (certifications in Sections 8-9). Include income proof (e.g., tax returns, pay stubs)[1][5]. 4. **Submit**: Options include: - Online: LIBTAYOSurroundPortal.com - Upload: patientsupportnow.org (code 8338538362) - Fax: 1-833-853-8362 - Phone enrollment (provide patient/insurance details)[1][4]. 5. **Wait for confirmation**: Reimbursement Specialist sends approval letter to you/doctor[4]. Physician offices can assist. Two signatures required from patient[1]. ## Timeline and Delivery - **Processing**: Not specified; expect weeks. Approval enrolls for up to **12 months** (Medicare: end of calendar year)[2][5]. - **Delivery**: Libtayo shipped free to your doctor's office or infusion center for administration at no cost to you if approved[1][3]. - **Reapply annually**: Required for continued eligibility[2]. Track via Patient Navigator. ## Alternatives if Denied - **Appeal**: Contact program for reasons and resubmit docs. - **Copay Program**: If privately insured (up to $25,000/year assistance, no income req)[7]. - **Other resources**: Navigators identify third-party aid[5]. Check NeedyMeds, PAN Foundation, or state programs. - **Biosimilars**: None available[program data]. - **Manufacturer bridge**: Temporary supply via doctor. ## Disclaimer This guide is for informational purposes based on available program details as of latest updates. Eligibility, terms, and income limits can change; **always verify directly with LIBTAYO Surround at (877) 542-8296 or surroundenrollment.com**. Regeneron may modify/discontinue anytime. Not medical/financial advice—consult healthcare provider and advisor. Program not for government insurance copays[1][2]. Patients responsible for non-covered costs. Word count: ~950.

Program information last verified: March 30, 2026