← Find a medication
Oncology

Zydelig

Generic: idelalisib

Manufacturer: Gilead Sciences  ·  Program: Zydelig AccessConnect Patient Assistance Program

Apply for assistance

Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

Uninsured or no other insurance options

Residency

US resident

Income Threshold

Up to 500% FPL

Individual Income Limit

$72,900/year

IMPORTANT: Medicare Part D patients are NOT eligible for most Gilead PAP programs

Program Information

Processing Time

1–2 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Indicated for

Chronic Lymphocytic Leukemia (CLL), Follicular Lymphoma (FL), Small Lymphocytic Lymphoma (SLL)

About This Medication

Zydelig AccessConnect Patient Assistance Program Patient Guide: How to Get Zydelig at Low or No Cost

This guide explains how uninsured patients can potentially receive Zydelig (idelalisib) for free through Gilead Sciences' Zydelig AccessConnect Patient Assistance Program. It covers eligibility, the drug's uses, application steps, and more to help you access treatment affordably.[1][5][9]

About Zydelig (idelalisib)

Zydelig is a prescription kinase inhibitor used to treat certain blood cancers in adults. It is approved for:

  • Chronic lymphocytic leukemia (CLL) in combination with Rituxan (rituximab), for relapsed cases or when Rituxan alone is appropriate due to other health issues.
  • Relapsed follicular B-cell non-Hodgkin lymphoma.
  • Relapsed small lymphocytic lymphoma (SLL).

Zydelig targets specific proteins in cancer cells to slow their growth. It is not for first-line treatment of CLL, SLL, follicular lymphoma (FL), or other indolent non-Hodgkin lymphomas, and should not be combined with bendamustine and Rituxan or Rituxan alone for FL or SLL.[7]

Important warnings: Zydelig carries serious risks, including severe diarrhea, liver damage, infections, and intestinal perforation. Always follow your doctor's instructions and review the full Prescribing Information.[3][7] Discuss side effects like fever, abdominal pain, or changes in bowel habits with your healthcare provider immediately.

Who Qualifies for the Program?

The Zydelig AccessConnect Patient Assistance Program provides free medication to eligible uninsured patients who cannot afford Zydelig. Key qualifications include:[5][9]

  • U.S. residents (including Puerto Rico).
  • Uninsured or lacking prescription coverage options.
  • Not eligible for Medicare, Medicaid, or other government programs.
  • Financial need (needs-based, though specific income limits like Federal Poverty Level percentages are not publicly detailed).[9][10]

Patients with commercial or private insurance may qualify for separate copay assistance (as low as $5 per prescription), but not government insurance.[8] The program also offers referrals to independent foundations for Medicare patients.[5]

Income Eligibility Breakdown

Specific income thresholds (e.g., % of Federal Poverty Level) are not explicitly listed in program details. Eligibility focuses on uninsured status and financial need, determined case-by-case. Contact the program for a personalized assessment.[1][5][9]

Household SizeIncome ThresholdNotes
IndividualNot specifiedNeeds-based; uninsured required.
CoupleNot specifiedCall for evaluation.
Family of 3Not specifiedFinancial documentation may be reviewed.
Family of 4+Not specifiedPuerto Rico residents eligible.

Tip: Even without exact FPL limits, proving inability to pay is key. Programs like this often align with <400-500% FPL, but verify by phone.[9][10]

Insurance Requirements

  • Must be uninsured or have no other insurance options for Zydelig.[5][9]
  • Ineligible if on Medicare Part D, Medicaid, TriCare, VA, or DoD benefits.[8][9]
  • Commercial insurance patients: Use Zydelig Co-pay Savings Program instead.[8]
  • Coverage delays? Enroll in the Zydelig QuickStart Program for a free 30-day supply (one-time, if delay >5 business days).[5][9]

Case Specialists help investigate benefits and explain Medicare Part D options.[5]

Step-by-Step Application Process

Applications are phone-based but may involve faxed forms. Here's how to apply:[2][9]

  1. Contact Zydelig AccessConnect: Call (844) 622-2377 (Monday-Friday, 8 a.m.-5 p.m. ET). A Case Specialist will guide you.[2][9]
  2. Gather info: Have your doctor's details, prescription, proof of income/residency, and insurance status ready. No specific documents listed, but expect income verification.[9]
  3. Complete enrollment: Your healthcare provider (HCP) can enroll you. Fill out the Zydelig AccessConnect Enrollment Form (includes Section 8 for QuickStart).[5][9]
  4. Fax the form: Send to 1-855-553-8672 with patient, prescriber signatures, insurance, and HCP info.[9]
  5. Benefits investigation: Program verifies coverage/eligibility.[9]
  6. Approval: If approved, medication ships free.

HCP can initiate enrollment too. Activation not required post-approval.[9]

Timeline and Delivery

  • Processing time: Not specified; expect case-by-case (QuickStart provides rapid 30-day supply).[5][9]
  • Delivery: Shipped to your home or prescriber's office.[9]
  • QuickStart: For delays >5 business days, get meds fast without purchase obligation (restrictions apply).[5]

Call for status updates. Adherence support from Patient Support Nurses helps with reminders and networks.[5]

Alternatives if Denied or Ineligible

  • Commercial insurance: Zydelig Co-pay Savings Program ($5 copay).[8]
  • Medicare: Referrals to independent foundations.[5]
  • QuickStart: Bridge for coverage delays.[5][9]
  • Other assistance: Assistance Fund for CLL, advocacy groups, or RxAssist/Gilead general programs.[6][9][10]
  • Biosimilars: None available.[program details]
  • Explore state programs or generic alternatives (consult doctor; Zydelig has no direct biosimilars).

Additional Support

  • Adherence help: Tips on dosing, side effects, support networks.[5]
  • Resources: Download Prescribing Info PDF; connect with CLL caregivers.[3][6]
  • Advocacy: Groups for CLL/SLL/lymphoma support.[6]

Disclaimer

This guide is for informational purposes based on available program details as of latest sources. Eligibility, terms, and availability can change. Always contact (844) 622-2377 for current info. Not medical advice—consult your doctor. Gilead Sciences reserves rights; restrictions apply. Free meds not guaranteed.[1][2][5][7][9] (Word count: 942)

Program information last verified: March 30, 2026

Ready to apply for Zydelig assistance?

ProvisionRX manages the complete application process. Start your application in about 15 minutes.

Start My ApplicationBrowse All Medications

Need help finding a program?