Vitrakvi

TRAK Assist Patient Guide: How to Get Vitrakvi (Larotrectinib) at Low or No Cost

About This Program

TRAK Assist is Bayer's patient support program designed to help eligible patients access Vitrakvi (larotrectinib), a prescription medication used to treat certain cancers with specific genetic mutations. The program recognizes that affording necessary medications can be challenging and offers multiple pathways to assistance based on your insurance status and financial situation.

What Is Vitrakvi?

Vitrakvi is a targeted cancer therapy prescribed for patients with tumors that have a neurotrophic receptor tyrosine kinase (NTRK) gene fusion without known acquired resistance mutations. It is available in two formulations: 100-mg capsules and 20-mg/mL oral solution. Your healthcare provider will determine if Vitrakvi is appropriate for your condition and will need to confirm you have an FDA-approved test showing the NTRK gene fusion.

Who Qualifies for TRAK Assist?

TRAK Assist serves three main patient populations:

Commercially Insured Patients: If you have active health insurance, you may qualify for co-pay assistance to reduce your out-of-pocket costs for Vitrakvi.

Patients with Coverage Gaps: The Bridge Program provides temporary medication assistance if you experience delays or lapses in your insurance coverage, helping ensure you don't miss doses during transitions.

Uninsured and Low-Income Patients: If you lack insurance or have limited income, you may qualify for the Bayer US Patient Assistance Foundation program, which can provide Vitrakvi at no cost. Eligibility is determined based on household income and financial need, with specific thresholds established by the program.

Income Eligibility

While specific income thresholds are not publicly listed, TRAK Assist and the Bayer US Patient Assistance Foundation use a sliding scale based on your household income and family size. The program typically considers:

To learn your specific eligibility, you'll need to contact the program directly or complete an application. The program uses electronic income verification when possible to streamline the process.

Insurance Requirements

If You Have Commercial Insurance: You are eligible for the co-pay assistance program. You'll need to provide proof of your current insurance (front and back of your pharmacy card).

If You Have Medicare or Medicaid: Contact TRAK Assist to discuss your specific situation, as coverage options may differ.

If You Are Uninsured: You may qualify for free medication through the Bayer US Patient Assistance Foundation program based on income eligibility.

How to Apply: Step-by-Step

Step 1: Gather Your Documents

• Your prescription from your healthcare provider
• Proof of insurance (pharmacy card front and back) if commercially insured
• Income documentation (pay stubs, tax returns, or other proof of household income) if applying for the foundation program

Step 2: Contact TRAK Assist Call 1-800-288-8374 to speak with a TRAK Assist counselor. They will:

• Verify your insurance information
• Discuss which program you qualify for
• Answer questions about your eligibility
• Guide you through the enrollment process

Step 3: Complete the Enrollment Form You or your healthcare provider can complete the TRAK Assist Patient Support Program Enrollment Form. This form authorizes TRAK Assist to:

• Verify your insurance coverage
• Determine your eligibility for assistance
• Identify other funding sources you may qualify for
• Provide education and ongoing support

Step 4: Submit Your Application You can submit your completed application by:

• Phone: 1-800-288-8374
• Fax: 1-866-575-6568 (for foundation applications)
• Mail: Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255

Step 5: Receive Approval and Your Medication Once approved, your medication will be shipped directly to you or your physician's office. TRAK Assist counselors will contact you to confirm receipt and provide ongoing support.

Timeline and Delivery

While specific processing times are not publicly stated, TRAK Assist aims to process applications efficiently. Once approved, Vitrakvi is typically shipped to your home or healthcare provider's office. The program uses secure delivery methods to ensure your medication arrives safely.

Important: Reauthorization Required

Your assistance through TRAK Assist is not permanent. You will need to reauthorize your enrollment periodically to continue receiving support. TRAK Assist counselors will contact you when reauthorization is needed and will guide you through the process.

What If Your Application Is Denied?

If you are denied assistance, ask TRAK Assist counselors about:

• Reasons for denial
• Whether you qualify for alternative Bayer programs
• Other external resources for prescription medication financial assistance
• Options to reapply if your circumstances change

Cost to You

There is no charge to participate in TRAK Assist. Any free medication or resources you receive through the program should not be billed to you or any third party. If you receive a bill, contact TRAK Assist immediately.

Privacy and Your Information

By enrolling in TRAK Assist, you authorize Bayer to use your personal and medical information to:

• Verify your insurance
• Determine program eligibility
• Coordinate your treatment and medication delivery
• Provide education and support

Your information is handled confidentially and used only for these purposes.

Contact Information

TRAK Assist Support

• Phone: 1-800-288-8374
• Fax: 1-800-390-1826

Bayer US Patient Assistance Foundation

• Phone: 1-866-2BUSPAF (1-866-228-7723)
• Fax: 1-866-575-6568
• Mail: P.O. Box 5670, Louisville, KY 40255

Disclaimer

This guide provides general information about TRAK Assist and the Bayer US Patient Assistance Foundation. Program eligibility, benefits, and requirements may change. For the most current and accurate information, contact TRAK Assist directly at 1-800-288-8374. This guide is not a guarantee of eligibility or assistance. Your healthcare provider should confirm that Vitrakvi is medically appropriate for your condition.