What is the LIBTAYO Surround® Patient Support Program?

LIBTAYO Surround is here to help. Your doctor is your trusted source for information about your condition and treatment. LIBTAYO Surround may be able to provide you with resources and support to assist you.

LIBTAYO Surround® commercial copay program

LIBTAYO Surround Commercial Copay Program*

You may be eligible to pay as little as $0 per month with the LIBTAYO Surround Commercial Copay Program.

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LIBTAYO Surround® patient assistance program

LIBTAYO Surround Patient Assistance Program

You may be eligible to receive LIBTAYO at no cost.

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LIBTAYO Surround® resources

Other resources

LIBTAYO Surround can help you look for other ways to afford your medicine.

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Nurse support

Nurse support

Nurse Advocates are available whenever you need more information and to support you throughout your treatment journey.

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*This program is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, Veterans Affairs/Department of Defense, TRICARE, or similar federal or state programs. Not a debit card program. The program does not cover or provide support for supplies, procedures, or any physician-related service associated with LIBTAYO. General non–product-specfic copays, coinsurance, or insurance deductibles are not covered. Additional program conditions may apply.

Additional criteria for financial need apply.

LIBTAYO Surround Commercial Copay Program may be right for you

You may be eligible to pay as little as $0 out of pocket for LIBTAYO.

Program benefits

You may pay as little as $0 out of pocket for LIBTAYO, which includes any product-specific copay, coinsurance, and insurance deductibles*—up to $25,000 in assistance per year.

Your out-of-pocket responsibility

You are responsible for any out-of-pocket cost for LIBTAYO that is more than the program assistance limit of $25,000 per year, or as may be required by your insurance plan. The LIBTAYO Surround Copay Program does not cover non–product-specific expenses related to supplies, procedures, or physician-related services.

Eligibility requirements

You may be eligible for the LIBTAYO Surround Copay Program if you meet the following criteria:

Insurance requirements

Insurance

You must have private (commercial) insurance.
Residency requirements

Residency

You must be a resident of the United States or its territories or possessions.

Actual LIBTAYO patient.

There is no income requirement
to qualify for this program.

*This program is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, Veterans Affairs/Department of Defense, TRICARE, or similar federal or state programs. Not a debit card program. The program does not cover or provide support for supplies, procedures, or any physician-related service associated with LIBTAYO. General non–product-specfic copays, coinsurance, or insurance deductibles are not covered. Additional program conditions may apply.

LIBTAYO Surround Patient Assistance Program

You may be eligible to receive LIBTAYO at no cost.

You may qualify if you:

  • Are uninsured, lack coverage for LIBTAYO, or have Medicare Part B with no supplemental insurance coverage
  • Are a resident of the United States or its territories or possessions
  • Have an annual gross household income that does not exceed the greater of $100,000 or 500% of the federal poverty level (FPL)

Other conditions may apply.

Calculations are for residents of the 48 contiguous United States and the District of Columbia. Residents of Alaska and Hawaii should contact LIBTAYO Surround to verify income criteria.
500% of the FPL in 2020 was $63,800 for a household of 1; $86,200 for a household of 2; $108,600 for a household of 3; and $131,000 for a household of 4. For households exceeding 4 members, add $22,400 for each additional member. These poverty guidelines are for the 48 contiguous states and the District of Columbia and do not include Alaska or Hawaii.

Other resources

LIBTAYO Surround can help you look for other ways to afford your medication.

LIBTAYO Surround may be able to help you find coverage through:

  • Medicaid
  • State health insurance exchanges
  • Medigap
  • State pharmaceutical assistance programs
  • Potential alternate sources of coverage

For more information, call LIBTAYO Surround at 1.877.LIBTAYO (1.877.542.8296), select option 1, Monday–Friday, 8:00 AM–8:00 PM Eastern Time.

Dedicated Nurse Advocates are available whenever you need more information.

24/7 Nurse Advocates