Vitrakvi

Indicated For

solid tumors with NTRK gene fusion

About This Medication

# TRAK Assist™ Patient Guide: How to Get Vitrakvi (larotrectinib) at Low or No Cost Vitrakvi (larotrectinib) is a targeted oral therapy approved by the FDA for adult and pediatric patients with **solid tumors** that have a **neurotrophic receptor tyrosine kinase (NTRK) gene fusion** without a known acquired resistance mutation, are metastatic or where surgical resection would cause severe morbidity, and have no satisfactory alternative treatments or have progressed after prior therapy.[5][2] This guide explains the **TRAK Assist™** program from **Bayer**, which offers **financial assistance**, **copay support**, a **Bridge Program** for coverage delays, and help getting your medication at low or no cost.[1][3] ## Who Qualifies for TRAK Assist™? TRAK Assist™ provides support for **eligible patients**, including those who are **commercially insured**, **uninsured**, or facing **coverage delays**. Key eligibility factors include: - Confirmed **NTRK gene fusion** via FDA-approved testing (e.g., molecular pathology report showing NTRK1, NTRK2, or NTRK3 fusion).[1][2] - A valid prescription from your oncologist. - Financial need for copay assistance or free medication (specific income details available by contacting the program; no fixed FPL percentage listed).[1] The program auto-enrolls eligible commercially insured patients in the **$0 Copay Program** and offers **temporary assistance** through the Bridge Program during prior authorizations (PAs) or appeals.[2][3] Uninsured patients may qualify for free medication via the Bayer US Patient Assistance Foundation.[4] ## About Vitrakvi (larotrectinib) **Vitrakvi** is a **TRK inhibitor** capsule or oral solution that blocks cancer growth signals in **NTRK fusion-positive tumors**, which occur in about 1% of solid tumors across many cancer types (e.g., salivary gland, lung, colon, breast).[5] It's tumor-agnostic, meaning it treats the fusion regardless of cancer location. Common doses: 100-mg capsules or 20-mg/mL oral solution; your doctor determines quantity and refills based on your needs.[2] **Important:** Select patients using FDA-approved tests. Discuss side effects like weight gain, diarrhea, anemia, or elevated liver enzymes with your doctor. Full prescribing info available via your healthcare team.[2] ## Income Eligibility Breakdown TRAK Assist™ offers **financial assistance for eligible patients**, but specific income thresholds (e.g., % of Federal Poverty Level) are not publicly detailed and require contacting the program for personalized assessment.[1] Here's a general overview: | Household Size | Estimated Threshold | Notes | |---------------|---------------------|-------| | Individual | Case-by-case | Based on income, household size, and insurance status. Call for details. | | Couple | Case-by-case | Commercially insured may get copay help up to $0 out-of-pocket. | | Family of 3 | Case-by-case | Uninsured may qualify for free meds via foundation. | | Family of 4+ | Case-by-case | Bridge Program for temporary supply during delays. |[1][4] Contact TRAK Assist at **(888) 506-8725** for your exact eligibility.[3] ## Insurance Requirements - **Commercially insured**: Eligible for copay support (potentially $0 copay) and Bridge Program if PA is pending/denied.[1][2] - **Uninsured**: May receive free medication through patient assistance foundation.[4] - **Medicare/Medicaid**: Contact program for options; copay assistance unavailable for government insurance, but Bridge may help during gaps.[3] - **Coverage delays**: Bridge Program provides temporary supply.[1][3] Your prescriber checks insurance first; attach cards (front/back).[2] ## Step-by-Step Application Process 1. **Confirm Diagnosis (Day 0)**: Ensure **NTRK fusion-positive** test results (lab date, test type).[2][1] 2. **Get Prescription**: Oncologist completes **Patient Support Request Form (SRF)** with patient info, insurance, diagnostics, prescription (dose, quantity, refills), and signature.[2][3] 3. **Gather Documents**: - Pharmacy/insurance card (**front and back**).[2][3] - Prescription information.[2] - Diagnostics (NTRK test, oncology notes).[1][2] 4. **Submit by Fax**: Fax form + documents to **1-888-506-8725** (TRAK Assist).[3] 5. **Phone Support**: Call **(888) 506-8725** or **1-800-288-8374** for help.[2][6] 6. **Enrollment**: TRAK Assist coordinates pharmacy delivery, benefits investigation, and assistance.[3] **New York prescribers**: Use official state blanks with form.[2] ## Timeline and Delivery - **Processing**: Varies; respond quickly to info requests to avoid delays (similar to PA timelines: 7-30 days standard).[1] - **Approval**: Complete forms process faster; Bridge for urgent needs.[1][3] - **Delivery**: TRAK Assist sends to specialty pharmacy (e.g., Accredo, CVS Specialty); direct ship to you.[3] - **Refills**: **Reauthorization required**; prescriber resubmits form.[1] Expect medication within days of approval; call for status.[3] ## Alternatives if Denied - **Appeal Insurance PA**: 180 days internal appeal, then 60-day external review.[1] - **Bridge Program**: Free temporary supply during appeals/delays.[1][3] - **Other Help**: CancerCare grants, state programs, or foundation for uninsured.[1][4] - **Contact TRAK Assist** for navigation.[3] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, benefits, and processes can change; always verify with TRAK Assist at (888) 506-8725 or your doctor. Not a substitute for medical/financial advice. Bayer/TRAK Assist not liable for decisions based on this guide. Costs ~$32,800/month without assistance.[1]

Program information last verified: March 25, 2026