Retevmo
Generic: selpercatinib
Manufacturer: Eli Lilly and Company · Program:
Apply for AssistanceEligibility Criteria
Insurance Requirement
See program details
Residency
US residency required
Income Threshold
Up to 500% FPL
Individual Income Limit
$72,900/year
Tiered: ≤300% FPL = free drug; 300–400% = reduced cost; up to 500% for some programs
Program Information
Processing Time
1–2 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Indicated For
RET fusion-positive non-small cell lung cancer, medullary thyroid cancer, RET fusion-positive thyroid cancer
About This Medication
# Lilly Support Services™ for Retevmo® Patient Guide: How to Get Retevmo® (selpercatinib) at Low or No Cost Retevmo® (selpercatinib) is a prescription medicine used to treat certain types of cancer with **RET gene alterations**, such as advanced or metastatic non-small cell lung cancer (NSCLC), thyroid cancer, and other solid tumors. Eli Lilly and Company offers **Lilly Support Services™ for Retevmo®**, a comprehensive program providing savings cards, co-pay assistance, free medicine during insurance delays, benefits investigations, and connections to the Lilly Cares® Foundation for uninsured patients[1][2][5][6]. ## About Retevmo® (selpercatinib) **Retevmo®** is a targeted therapy called a kinase inhibitor that specifically blocks proteins made by faulty RET genes, which can drive cancer growth. It is taken as capsules by mouth, usually twice daily on an empty stomach. Your doctor prescribes it if testing confirms a RET fusion or alteration in your tumor. Common side effects include dry mouth, diarrhea, fatigue, high blood pressure, and liver issues—always report these to your healthcare team. Retevmo® is dispensed through specialty pharmacies, and Lilly's support helps navigate this process[2][5][7][10]. This guide explains how to access Retevmo® affordably through Lilly's programs, which are free to join and tailored to your insurance and financial situation. Services include identifying the lowest out-of-pocket costs, dose exchanges via MyRightDose, and help with prior authorizations or appeals[1][7][8][9]. ## Who Qualifies for Assistance? Lilly Support Services™ helps **most patients** prescribed Retevmo® for FDA-approved uses, regardless of insurance, but eligibility varies by program: - **Commercially insured patients**: Qualify for the **Retevmo® Savings Card** (as low as $0/month for 30-day supply, up to 12 months, with monthly/annual caps). Not for Medicare, Medicaid, VA, etc.[5][7] - **Patients with insurance delays**: **Retevmo® Interim Access Program** gives free 15-day supplies (up to 4 total) if there's a 5+ business-day coverage delay[5][9] - **Uninsured or underinsured**: Referrals to **Lilly Cares® Foundation**, which provides free medicine if you meet income guidelines (typically up to 400-500% Federal Poverty Level, but exact thresholds not specified here—call to confirm)[4][6] - **All patients**: Free benefits investigation, specialty pharmacy coordination, and reimbursement support via Lilly Oncology Support Center[2][3][5] Residents of the US or Puerto Rico are eligible; programs require enrollment by you or your doctor[8][9]. ## Income Eligibility Breakdown Income limits apply mainly to Lilly Cares® for free medicine (uninsured/underinsured). Commercial savings cards have no strict income test but require commercial coverage. Here's a general overview based on typical Lilly programs (confirm current details by calling): | Household Size | Annual Income Limit (approx. 400% FPL) | Notes | |---------------|---------------------------------------|-------| | Individual | Up to $60,000 | Varies; includes all income sources[4] | | Couple | Up to $80,000 | Exact % FPL not specified; call 1-800-545-6962[6] | | Family of 3 | Up to $100,000 | May adjust for states with higher costs | | Family of 4 | Up to $120,000 | Proof like tax returns required[4] | **Notes**: FPL = Federal Poverty Level (updates yearly). Lilly Cares® reviews household income, assets, and expenses. Commercial programs like Savings Card focus on insurance, not income[4][5][6]. ## Insurance Requirements - **Commercial insurance**: Best for Savings Card ($0 co-pay eligible if covered)[5][7] - **Government insurance (Medicare, Medicaid, VA)**: Ineligible for Savings Card; use Lilly Cares® or other resources[7] - **No insurance**: Apply to Lilly Cares® directly[6] Lilly conducts a **free benefits investigation** to check coverage, find in-network specialty pharmacies, and estimate costs[2][5]. Not all programs guarantee coverage—terms apply[9]. ## Step-by-Step Application Process 1. **Talk to your doctor**: Ask them to prescribe Retevmo® and enroll you. They complete the Patient Enrollment Form (includes consent for Lilly contact and benefits check)[2] 2. **Call Lilly Support Services™**: Dial **1-800-LillyRx (1-800-545-5979)** (Mon-Fri, 8 AM-10 PM ET) or **1-866-472-8663** for Oncology Support. Provide your info; they'll guide you[1][3][5] 3. **Visit the website**: Go to retevmo.lilly.com/savings-support to download forms or activate Savings Card[1][3] 4. **Submit enrollment**: Doctor faxes form to Lilly; select your specialty pharmacy[2][8] 5. **For Lilly Cares®**: Download application from lillycares.com or call 1-800-545-6962 (Mon-Fri, 8 AM-6 PM ET). Submit with proof of income, no insurance, and doctor's info[4][6] 6. **Track progress**: Lilly contacts you by phone/email/mail with next steps[2] Enrollment is quick and free—no cost to join[7]. ## Timeline and Delivery - **Benefits investigation**: Fast—often same day[2] - **Interim Access**: Ships in days if delayed (15-day supply via non-commercial pharmacy)[9] - **Savings Card**: Instant activation online[1] - **Lilly Cares® processing**: 2-4 weeks; medicine shipped to your home or doctor's office[4] - **MyRightDose exchanges**: As early as 48 hours; return unused pills[7][8] Delivery via specialty pharmacy or direct ship; free for eligible programs[7]. ## Alternatives if Denied - **Appeal insurance denial**: Lilly provides free appeals support and sample letters[5][10] - **Switch programs**: Try Interim Access or Lilly Cares®[9] - **Other resources**: Lilly connects to non-Lilly aid, patient access networks, or state programs[9] - **Biosimilars**: None available for Retevmo® (targeted therapy, no generics yet)[] - **Contact support**: Call for personalized options[1] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2024. Programs change; eligibility not guaranteed. Consult your doctor, Lilly Support (1-800-LillyRx), or lillycares.com for latest details. Not medical advice—discuss Retevmo® suitability with your healthcare provider. Terms/conditions apply; see enrollment forms[1][2][5][9]. (Word count: 1028)
Program information last verified: March 30, 2026
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