Am I on the right track to get my prescribed medicine?

LIBTAYO Surround™ logo

LIBTAYO Surround is here to help. Your physician 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

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

You may qualify if you:

  • have private (commercial) insurance
  • are a resident of the United States or its territories or possessions

Other conditions may apply.

The LIBTAYO Surround Commercial Copay Program*:

  • provides up to $25,000 in assistance per year for expenses you must pay for LIBTAYO

You may be eligible to pay:

  • as little as $0 for LIBTAYO until your expenses reach $25,000
  • any additional costs after you reach the program’s limit
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-specific 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.

500% of the FPL in 2019 is $62,450 for a household of 1; $84,550 for a household of 2; $106,650 for a household of 3; and $128,750 for a household of 4. For households exceeding 4 members, add $22,100 for each additional member. Income eligibility is the greater of $100,000 or these income amounts.

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), option 1, Monday-Friday, 8 AM-8 PM Eastern Time.

LIBTAYO downloadable resources

Additional information is available
Download these resources to find out more about LIBTAYO and LIBTAYO Surround.

Understanding your treatment with LIBTAYO
Talking with your healthcare provider about LIBTAYO
Patient wallet card
LIBTAYO Surround Copay Program brochure
LIBTAYO Surround overview brochure