Zydelig

Indicated For

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

About This Medication

# Zydelig AccessConnect Patient Guide: How to Get Zydelig (idelalisib) at Low or No Cost ## About This Program The **Zydelig AccessConnect Patient Assistance Program** is offered by Gilead Sciences to help patients access Zydelig (idelalisib), a medication used to treat certain types of blood cancers including relapsed chronic lymphocytic leukemia (CLL), relapsed small lymphocytic lymphoma, and relapsed follicular B-cell non-Hodgkin lymphoma. If you're struggling to afford this critical medication, this program may help you receive it at reduced or no cost. ## About Zydelig (idelalisib) Zydelig is a kinase inhibitor that works by targeting specific proteins involved in cancer cell growth. The standard recommended dose is 150 mg taken twice daily by mouth, with or without food. Your doctor may adjust your dose if you experience certain side effects. This medication requires careful monitoring and regular communication with your healthcare team to manage potential side effects effectively. ## Who Qualifies for Zydelig AccessConnect You may be eligible for this program if you meet these requirements: - **U.S. Residency**: You must be a resident of the United States, Puerto Rico, Guam, or the Virgin Islands - **Active Medical Care**: You must be under the care of a licensed U.S. physician who has prescribed Zydelig - **Insurance Status**: You are uninsured, underinsured, or have commercial insurance but cannot afford your medication - **Government Insurance Restriction**: You cannot be eligible for or enrolled in Medicare or Medicaid - **Valid Prescription**: You must have a current, valid prescription for Zydelig from your healthcare provider ## Income Eligibility The Zydelig AccessConnect program does not publish specific income thresholds. Instead, the program uses a **needs-based approach**, meaning eligibility is determined on a case-by-case basis during the benefits investigation process. Your financial situation will be reviewed to determine if you qualify for assistance. ## Insurance Requirements | Insurance Type | Eligible? | Notes | |---|---|---| | Uninsured | Yes | You may receive Zydelig free of charge | | Commercially Insured | Yes | You may qualify for copay coupon assistance | | Underinsured | Yes | You may qualify for copay coupon assistance | | Medicare | No | You are not eligible for the main program; referrals to independent foundations may be available | | Medicaid | No | You are not eligible for this program | | Medigap | No | You are not eligible for this program | ## How to Apply ### Step 1: Gather Your Information Before you begin, have the following information ready: - Your insurance details (if applicable) - Your prescriber's name and contact information - Your prescription for Zydelig - Your signature and your prescriber's signature ### Step 2: Complete the Enrollment Form Obtain the **Zydelig AccessConnect Patient Enrollment Form** from your healthcare provider or by calling the program directly. You or your healthcare provider can complete this form. ### Step 3: Submit Your Application Fax your completed enrollment form to: **1-855-553-8672** Include: - Your completed enrollment form with both your and your prescriber's signatures - Your insurance information - Your prescriber's information ### Step 4: Benefits Investigation Once your form is received, the program will conduct a benefits investigation to determine your eligibility and the type of assistance you qualify for. ### Step 5: Receive Your Medication Upon approval, your medication will be shipped either to your prescriber's office or directly to you. ## Timeline and Delivery **Processing Time**: The program does not specify a standard processing timeline, but you should expect to hear back within a reasonable timeframe after submission. **QuickStart Bridge Program**: If you're experiencing a coverage delay of more than 5 business days, you may be eligible for the **QuickStart Program**, which provides a free, one-time 30-day supply of Zydelig while your application is being processed. Request this on Section 8 of your enrollment form. **Delivery Method**: Your medication will be shipped to either your prescriber's office or your home address, depending on what works best for you. ## Financial Assistance Options ### For Uninsured Patients You may be eligible to receive Zydelig **free of charge** through the patient assistance program if you meet all eligibility requirements. ### For Commercially Insured Patients You may qualify for the **Copay Coupon Card**, which: - Covers your out-of-pocket costs after the first $5 of each prescription fill - Provides coverage up to a maximum of 25% of the catalog price of a 1-year supply - Is valid for 1 year from the date of receipt or for 15 fills within 12 months, whichever comes first - Can be obtained online at www.activatethecard.com/zydelig/ and printed immediately ### For Medicare Patients While you cannot enroll in the main program, you may be eligible for referrals to independent foundations that can help with copays and coinsurance costs. ## Additional Support Services Beyond financial assistance, Zydelig AccessConnect provides: - **Access Support**: Case specialists help ensure timely medication delivery and explain your insurance coverage details - **Adherence Support**: Patient Support Nurses provide tips on medication adherence, joining support networks, and communicating with your healthcare provider - **Patient Education**: Access to educational materials about your condition and treatment ## What If Your Application Is Denied If you are denied enrollment in the program, ask the program staff to explain the reason. Common reasons for denial include: - Not meeting residency requirements - Being enrolled in Medicare or Medicaid - Not having a valid prescription from a U.S. physician - Having insurance coverage that should be used first If denied, ask about: - Whether you might qualify for a different assistance program - Referrals to independent foundations or other resources - Whether your situation might change in the future ## Important Reminders - **Do not delay treatment**: If you're having trouble affording Zydelig, contact the program immediately rather than skipping doses - **Keep your prescriber informed**: Your doctor needs to know about any financial barriers to taking your medication - **Update your information**: If your insurance or financial situation changes, notify the program - **Medication adherence is critical**: Missing doses can reduce the effectiveness of your treatment ## Contact Information **Zydelig AccessConnect** - **Phone**: 1-844-622-2377 - **Hours**: Monday–Friday, 8 AM to 5 PM ET - **Fax**: 1-855-553-8672 - **Website**: www.zydeligaccessconnect.com ## Disclaimer This guide provides general information about the Zydelig AccessConnect Patient Assistance Program based on publicly available information. Program details, eligibility requirements, and benefits may change. For the most current and accurate information, contact the program directly or visit the official website. This guide is not a substitute for professional medical or financial advice. Always consult with your healthcare provider and the program staff regarding your specific situation.

Program information last verified: March 25, 2026