QINLOCK

Indicated For

GIST, KIT, PDGFRA

About This Medication

# Deciphera AccessPoint Patient Assistance Program: How to Get QINLOCK at Low or No Cost ## About QINLOCK (Ripretinib) QINLOCK (ripretinib) is a prescription medication used to treat gastrointestinal stromal tumors (GIST). The cost of this specialty medication can be significant, which is why Deciphera Pharmaceuticals offers the Deciphera AccessPoint Patient Assistance Program to help eligible patients access their prescribed treatment without financial barriers. ## Who Qualifies for This Program? The Deciphera AccessPoint program is designed to help patients who face financial challenges in accessing QINLOCK. You may be eligible if you are: - **Uninsured** (have no health insurance coverage) - **Underinsured** (have insurance but face high out-of-pocket costs) - **Medicare Part D patients** (facing coverage gaps or high costs) - **Medicaid patients** (in certain situations) The program focuses on financial need rather than strict income cutoffs. This means eligibility is determined on a case-by-case basis, taking into account your individual financial circumstances. ## Income Eligibility While the program does not publish specific income thresholds, it uses a needs-based approach to determine eligibility. During enrollment, you will be asked to provide financial information to verify your eligibility for assistance. The program considers factors such as: - Household income - Family size - Current expenses and debts - Insurance status and out-of-pocket costs If you're unsure whether you qualify, the program's Case Managers can help assess your situation during the enrollment process. ## Insurance Requirements You do **not** need to have insurance to apply for this program. The Deciphera AccessPoint program serves patients with various insurance situations: | Insurance Status | Eligible? | Notes | |---|---|---| | No insurance | Yes | Uninsured patients can receive medication at no cost if they meet financial need criteria | | Private/Commercial insurance | Yes | Underinsured patients with high copays may qualify for copay assistance | | Medicare | Yes | Medicare beneficiaries, including those in Part D coverage gaps, may qualify | | Medicaid | Yes | Medicaid patients may be eligible depending on state and individual circumstances | ## What Financial Assistance Is Available? The Deciphera AccessPoint program offers multiple types of support: **Copay Assistance Program**: If you have commercial insurance but your copay is too high, the program may help reduce or eliminate your out-of-pocket costs. **Patient Assistance Program**: Eligible uninsured or underinsured patients may receive QINLOCK at no cost. **Rapid Start Program**: If you're a new patient and your insurance approval is delayed, you may receive a free temporary 10-day supply to begin treatment immediately. **Bridge Support Program**: If you're already on QINLOCK and your coverage changes or is interrupted, this program provides temporary medication to keep you on therapy. **Insurance Navigation Support**: Case Managers help with benefits investigations, prior authorization requests, and appeals if your insurance denies coverage. ## How to Apply: Step-by-Step ### Step 1: Get Your Doctor's Support Talk to your healthcare provider about enrolling in the Deciphera AccessPoint program. Your doctor can help complete the enrollment form and submit it on your behalf. ### Step 2: Complete the Enrollment Form Your healthcare provider will fill out the Deciphera AccessPoint enrollment form, which includes: - Your basic information (name, date of birth) - Insurance details (if applicable) - Information about which services you need most - Your financial information to verify eligibility ### Step 3: Submit Required Documentation You will need to provide: - **Proof of insurance status** (insurance card, denial letter, or statement that you're uninsured) - **Income documentation** (recent pay stubs, tax returns, or benefit statements) - **Your prescription** for QINLOCK from your doctor ### Step 4: Enrollment Submission Your healthcare provider will fax the completed enrollment form to the program at **(833) 327-4329**, or you can call the Case Managers directly at **(833) 432-2237** (Monday–Friday, 8 AM–8 PM ET) to submit information over the phone. ### Step 5: Work with Your Case Manager Once enrolled, a dedicated Case Manager will contact you to: - Verify your insurance coverage and eligibility - Identify the best financial assistance option for your situation - Coordinate prescription fulfillment - Answer any questions about your treatment ## Timeline and Medication Delivery **Processing Time**: The program does not publish specific processing timelines, but Case Managers work to expedite enrollment, especially for patients facing coverage delays. **Medication Delivery**: Once approved, QINLOCK will be delivered to you through a specialty pharmacy. The medication can be: - Shipped directly to your home, or - Dispensed through your healthcare provider's office pharmacy (if eligible) **Rapid Start Program**: If you need medication immediately while waiting for insurance approval, you may receive a free 10-day temporary supply to begin treatment right away. ## What Happens If Your Application Is Denied? If your initial application is denied, you have options: - **Appeal**: The program provides resources and support to help you appeal a coverage denial from your insurance company - **Reapply**: Your circumstances may change, making you eligible at a later time - **Contact Case Managers**: Call **(833) 432-2237** to discuss why you were denied and explore alternative options ## Reauthorization and Ongoing Support Your assistance through the program may need to be reauthorized periodically. The program's Case Managers will contact you when reauthorization is needed and help you through the renewal process. Your financial circumstances or insurance status may change, so it's important to keep the program updated. ## Important Reminders - The program is available to residents of the **United States and Puerto Rico only** - You must have a valid prescription from your healthcare provider - Financial assistance is based on individual need and eligibility verification - The program works with your insurance company to maximize coverage before providing additional assistance ## Get Help Today Don't let cost concerns prevent you from getting the treatment you need. Contact the Deciphera AccessPoint program: **Phone**: (833) 432-2237 (Monday–Friday, 8 AM–8 PM ET) **Email**: info@decipheraaccesspoint.com **Ask your doctor** to enroll you in the program A Case Manager is ready to help you navigate insurance questions, verify your coverage, and find the financial assistance you're eligible for.

Program information last verified: March 30, 2026