TEPMETKO

Indicated For

NSCLC, non-small cell lung cancer

About This Medication

# CoverOne Patient Assistance Program Guide: Getting TEPMETKO at Low Cost ## What Is TEPMETKO? TEPMETKO (tepotinib) is a prescription medication used to treat non-small cell lung cancer (NSCLC). It's manufactured by EMD Serono. If you've been prescribed TEPMETKO but are concerned about the cost, the CoverOne Patient Assistance Program may help you get this medication at little or no cost. ## Who Can Apply? You may be eligible for the CoverOne Patient Assistance Program if you meet these criteria: - You have been prescribed TEPMETKO by your oncologist - You are a U.S. resident - You are uninsured or underinsured (meaning your insurance doesn't cover TEPMETKO or you can't afford your out-of-pocket costs) - Your household income falls within the program's income limits ### Income Limits Income limits vary by household size and are reviewed annually. The program uses federal poverty guidelines as a reference, but may allow higher income thresholds depending on your circumstances. Contact the program directly at (844) 662-3631 to confirm your specific eligibility based on your household income. ## Insurance Status The CoverOne program is designed for: - **Uninsured patients**: Those with no health insurance - **Underinsured patients**: Those with insurance that doesn't cover TEPMETKO or requires unaffordable out-of-pocket payments If you have Medicare or commercial insurance that covers TEPMETKO, you may still qualify if your copay or coinsurance is too high. The program also offers a savings card option for patients with insurance who need help with their medication costs. ## What You Need to Apply Gather these documents before applying: 1. **Oncology/CoverOne Enrollment Form** - Your doctor's office will complete the medical information section confirming you need TEPMETKO 2. **Most Recent Tax Return** - A copy of your latest IRS Form 1040 or equivalent tax document to verify your household income 3. **Proof of Citizenship or Residency** - Documentation showing you're a U.S. resident 4. **Insurance Information** - If you have insurance, provide your insurance card details ## How to Apply: 4-Step Process ### Step 1: Talk to Your Doctor Ask your oncologist or their staff to help you enroll. They will need to complete the medical portion of the CoverOne Enrollment Form. ### Step 2: Gather Your Documents Collect your most recent tax return and proof of residency. If you don't have a recent tax return, call (844) 662-3631 to ask about alternative documentation. ### Step 3: Complete the Application Work with your doctor's office or call CoverOne directly at (844) 662-3631 to complete the enrollment form. You can submit your application by fax or phone. ### Step 4: Wait for Approval CoverOne will review your application and contact you within 1-2 weeks. Once approved, you'll receive information about how to access your medication. ## Timeline and Next Steps After submission, expect a decision within 7-14 days. Once approved: - You won't need to reapply annually - If your circumstances change significantly, notify the program - You may be eligible for a savings card to help with costs even if you have insurance ## Savings Card Option The CoverOne program offers a savings card that can reduce your copayments if you have commercial insurance. This card may help if: - Your insurance plan has high copays or coinsurance - You have a high deductible - You're waiting for insurance coverage decisions You can use the savings card in addition to your insurance coverage. ## Important Notes - **No biosimilars available**: TEPMETKO is not available as a biosimilar, so this is your primary medication option - **No reauthorization required**: Once approved, you typically won't need to reapply - **Confidential process**: Your information is kept confidential and used only for program purposes ## Contact Information **CoverOne Patient Assistance Program** - Phone: (844) 662-3631 - Website: https://www.coverone.com - Application method: Fax or phone Don't let cost prevent you from getting the treatment you need. Reach out to CoverOne today to see if you qualify.

Program information last verified: March 25, 2026