Libtayo

Indicated For

Non-small cell lung cancer, basal cell carcinoma, cutaneous squamous cell carcinoma

About This Medication

# LIBTAYO Surround Patient Assistance Program Patient Guide: How to Get Libtayo at Low or No Cost Libtayo (cemiplimab-rwlc) is a prescription immunotherapy medication used to treat certain types of advanced skin, lung, and other cancers by helping your immune system fight cancer cells. The **LIBTAYO Surround Patient Assistance Program**, run by **Regeneron Pharmaceuticals, Inc.**, provides **Libtayo at no cost** to eligible patients who are uninsured, underinsured, lack coverage for Libtayo, or have Medicare but can't afford out-of-pocket costs.[1][3][4] ## Who Qualifies for the Program? This program is for **U.S. residents** (including Puerto Rico and territories) who demonstrate **financial need** based on household income and meet insurance criteria. You may qualify if: - You are **uninsured** or **underinsured**. - Your insurance does not cover Libtayo. - You have **Medicare Part B** without supplemental coverage and can't pay copays. **Key eligibility factors**: - Residency in the U.S. or territories.[1] - Financial need shown by annual household income (specific limits apply but not publicly detailed; program verifies based on your reported income).[1][2][4] - No coverage requirement, but must lack Libtayo coverage or face high costs.[1][3] The program offers free medication to those approved, ensuring access to treatment without financial burden.[1][3] ## About Libtayo Libtayo is an **PD-1 inhibitor** immunotherapy given as an intravenous (IV) infusion every 3 weeks, typically in a doctor's office or clinic. It's FDA-approved for: - **Cutaneous squamous cell carcinoma (CSCC)**. - **Non-small cell lung cancer (NSCLC)**. - **Basal cell carcinoma (BCC)**. - **Cervical cancer**. - Other cancers in certain cases. **Common side effects** include fatigue, rash, diarrhea, and immune-related issues like thyroid problems—always discuss with your doctor. Libtayo is not chemotherapy; it boosts your body's natural defenses against cancer.[3] ## Income Eligibility Breakdown Eligibility requires demonstrating financial need via **annual household income**. Report total income from salary, Social Security, unemployment, disability, etc., for all household members. Specific dollar thresholds (e.g., % of Federal Poverty Level) are **not publicly listed**; the program evaluates case-by-case and may request proof.[1][2][4] | Household Size | Estimated Income Threshold | Notes | |---------------|----------------------------|--------| | 1 (Individual) | Based on program criteria (TBD) | Must provide proof if requested[2] | | 2 (Couple) | Based on program criteria (TBD) | Includes all household income[2] | | 3 | Based on program criteria (TBD) | Annual total only[2] | | 4+ | Based on program criteria (TBD) | Adjusted for family size[2] | **Tip**: Call 1-877-542-8296 to discuss your situation; they guide on limits without full disclosure.[1][2][5] ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified.[1][3] - **Underinsured**: Eligible if insurance denies Libtayo coverage.[1] - **Medicare patients**: Eligible if Part B-covered but no supplemental insurance and costs unaffordable; enrolled until year-end, then reapply.[3][4] - **Medicaid**: May qualify if lacking Libtayo coverage.[1] - **Commercial insurance**: Better for Copay Program (separate, no income limit), but PAP for those needing free drug.[3][4] LIBTAYO Surround investigates benefits and helps with prior authorizations/appeals.[2] ## Step-by-Step Application Process 1. **Talk to your doctor**: Confirm Libtayo prescription and get support. They complete parts of the form.[2] 2. **Gather documents**: - **Proof of residency** (e.g., utility bill, driver's license).[Provided data] - **Proof of income** (e.g., tax returns, pay stubs, Social Security statements)—may be requested later.[2] - **Proof of insurance status** (insurance cards, denial letters).[Provided data][2] 3. **Get the enrollment form**: Download from libtayo.com or call 1-877-LIBTAYO (1-877-542-8296), Option 1, Mon-Fri 8am-8pm ET.[2][5] 4. **Fill out sections**: - Patient info, insurance, physician details, treatment/prescription, financials (household size/income).[2] - Physician certifies and authorizes info sharing.[2] 5. **Submit** (2 ways): - **Phone**: Call 1-877-542-8296 to enroll verbally (provide patient/insurance details).[1][5] - **Fax**: 1-833-853-8362.[2] - **Upload**: www.patientsupportnow.org (code: 8338538362).[2] 6. **Wait for confirmation**: LIBTAYO Surround reviews, sends letter to you/doctor upon approval.[1] Patient Navigators assist in 240+ languages.[4] ## Timeline and Delivery - **Processing**: Not specified; expect benefits investigation upon enrollment. Approval letter sent promptly.[1][2] - **Initial approval**: Up to **12 months**; Medicare until calendar year-end.[3][4] - **Delivery**: Shipped free to **your home or physician's office**.[Provided data] - **Reauthorization**: **Required annually** or as needed—reapply to continue.[3][4][Provided data] ## Alternatives if Denied - **LIBTAYO Surround Copay Program**: For commercial insurance; pay $0 (no income limit, up to $25,000/year).[3][4] - **Other assistance**: Navigators refer to Medicaid, exchanges, Medigap, SPAPs, foundations.[2] - **State programs**: Check local pharmaceutical aid. - **Manufacturer contact**: Call for appeals or other options.[5] - No biosimilars available.[Provided data] ## Disclaimer This guide is for informational purposes based on available program details as of latest sources. Eligibility, terms, and income thresholds can change—**always verify with LIBTAYO Surround at 1-877-542-8296**. Not medical/financial advice; consult your doctor and advisor. Program not for cash-pay patients; void where prohibited.[1][2][3][4]

Program information last verified: March 25, 2026