TEVIMBRA

Indicated For

gastric cancer, gastroesophageal junction cancer

About This Medication

# myBeOne Support Patient Guide: How to Get TEVIMBRA (tislelizumab-jsgr) at Low or No Cost TEVIMBRA (tislelizumab-jsgr) is an immunotherapy medication used to treat certain types of cancer, such as esophageal squamous cell carcinoma (ESCC). The **myBeOne Support** program from **BeOne Medicines** helps eligible patients access TEVIMBRA at little or no cost through free product for uninsured/underinsured, copay assistance up to $25,000 per year for commercial insurance, and other support services[1][3][5]. ## About TEVIMBRA (tislelizumab-jsgr) TEVIMBRA is a PD-1 inhibitor, a type of immunotherapy that helps your immune system fight cancer cells. It's approved for adults with unresectable or metastatic ESCC after prior chemotherapy, among other uses. Administered as an intravenous (IV) infusion every 3 weeks, typically at 200 mg (two 100 mg/10 mL vials). Common side effects include fatigue, musculoskeletal pain, and rash—discuss risks with your doctor. This guide focuses on affordability through myBeOne Support, not medical advice[1][3][9]. ## Who Qualifies for myBeOne Support? Most patients prescribed TEVIMBRA qualify, regardless of income. **No financial requirements** exist for free product or copay assistance—eligibility hinges on insurance status and residency[1][5]. - **Uninsured patients**: Get free TEVIMBRA. - **Underinsured patients**: Free product if out-of-pocket costs are unaffordable (e.g., high deductibles). - **Commercially insured**: Copay assistance as low as $0, up to **$25,000/calendar year**; up to **$100/infusion** reimbursement for administration fees[1][3]. - **Government insurance** (Medicare/Medicaid): Eligible for some support, like patient education and connections to resources; copay may apply[3][5]. You must be a **US resident**, have a valid prescription, and enroll via your healthcare provider. Oncology Nurse Advocates provide personalized help, including insurance verification and emotional support[2][4]. ## Income Eligibility Breakdown **myBeOne Support has no income limits.** Unlike many programs tied to Federal Poverty Level (FPL), this one prioritizes insurance coverage over finances. Here's a simple table: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None | Eligibility based on insurance, not income[5] | | Couple | None | Free product/copay for qualifying insurance[1] | | Family of 3 | None | No FPL % required[5] | | Family of 4+ | None | US residents only[1] | This makes it accessible for middle-income patients facing high copays[3]. ## Insurance Requirements - **Commercial insurance**: Primary option for copay help (up to $25,000/year). Program verifies benefits and covers eligible out-of-pocket costs[1][3]. - **Uninsured/underinsured**: Free drug shipped if payer denies coverage or costs are unaffordable. Prove financial need for underinsured (e.g., denial letter, cost estimate)[1]. - **Medicare Part D**: Limited copay; may qualify for bridge supply or foundation referrals[3]. Medicaid often ineligible for free drug but gets other services. - **No coverage?** Still enroll—Advocates connect to independent foundations[2]. Program handles prior authorizations[3]. Terms apply; not health insurance[1]. ## Step-by-Step Application Process Your doctor or nurse starts enrollment—patients can't apply alone. It's quick and free[1][2]. 1. **Get Prescribed**: Ask your oncologist about myBeOne Support. 2. **Doctor Completes Form**: Download from mybeonesupport.com or call. Includes patient info, prescription details (dose, vials, frequency), insurance, allergies, meds. Sign prescriber certification[1]. 3. **Submit**: Fax to **1-877-828-5593** or call **1-833-234-4363** (M-F, 8am-8pm ET). Online option available[2]. 4. **Verification**: Nurse Advocate confirms receipt (1 business day), checks insurance, may request docs[1]. 5. **Approval**: Get free product, copay card, or support. Refills need reauthorization[1]. **Required Documents**: - Proof of insurance (card, policy). - Prescription for TEVIMBRA. - Proof of financial need (for underinsured: benefit summary, denial, out-of-pocket estimate)[1]. Call anytime for status: Advocates speak 150+ languages[2]. ## Timeline and Delivery - **Processing**: 1 business day for completed forms. Insurance verification follows; bridge supply possible[1]. - **Delivery**: Free TEVIMBRA shipped to your home or doctor's office. Infusion at clinic—$100 fee reimbursement if eligible[1][3]. - **Copay**: Instant card for pharmacy/infusion center. Expect 98% satisfaction; track via Advocate[3]. **Reauthorization required** for refills—doctor resubmits periodically[1]. ## Alternatives if Denied or Ineligible - **Appeal**: Ask Advocate for help; resubmit with more docs[7]. - **Independent Foundations**: Program connects to groups for copay/grants (e.g., CancerCare, Patient Access Network). They have separate rules[2][3]. - **Other PAPs**: Check NeedyMeds.org or PAN Foundation for TEVIMBRA alternatives. - **Biosimilars**: None available currently[provided data]. - **State Programs**: Medicaid expansion or charity care at hospitals. Discuss with your doctor—don't skip treatment. ## Disclaimer This guide summarizes myBeOne Support based on available info (as of 2026). **Not a guarantee of benefits.** Eligibility, terms change; program excludes long-term care, punitive damages. Consult mybeonesupport.com, call 1-833-234-4363, or your provider. Not medical/financial advice—see professionals. BeOne Medicines not liable for misuse. Full terms in enrollment form[1][3]. (Word count: 942)

Program information last verified: March 25, 2026