Overview of LIBTAYO Surround

LIBTAYO Surround financial support programs

LIBTAYO Surround offers patient support that facilitates access to medication when patients need assistance with out-of-pocket costs. LIBTAYO Surround will help investigate your patients’ eligibility in the following programs:

Commercial Copay Program

Eligible patients with commercial insurance may pay as little as $0 for LIBTAYO, which includes any product-specific copay, coinsurance, and insurance deductibles—up to $25,000 in assistance per year.* Conditions apply.

• There is no income requirement to qualify for this program

Register to enroll eligible patients in the Commercial Copay Program and manage the process online

The LIBTAYO Surround Commercial Copay Program Portal provides a streamlined tool for healthcare providers and staff to:

• Enroll eligible patients in the LIBTAYO Surround Commercial Copay Program
• Track and submit claims for copay reimbursement
• Utilize the information generated in the portal to update individual billing systems with adjudication information

Click here to access the Commercial Copay Program Portal >

Patient Assistance Program (PAP)

Patients who are uninsured, underinsured, or lack coverage may be eligible to receive LIBTAYO at no cost. LIBTAYO Surround can help evaluate patients’ eligibility for assistance.

• *Subject to annual maximum copay assistance amount of $25,000. 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. This program only applies to patients who are at least 18 years of age, residents of the United States or its territories or possessions, are prescribed LIBTAYO (cemiplimab-rwlc) for an FDA-approved indication, and are insured by a commercial health plan that requires a copayment, coinsurance, and/or deductible amount for LIBTAYO. lt is not an insurance benefit. LIBTAYO Surround reserves the right to rescind, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned on any past, present, or future purchase, including refills. This offer is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value. Patients are responsible for any out-of-pocket costs for LIBTAYO that exceed the program assistance limit of $25,000 per year. Program is not valid for cash-paying customers. Additional program conditions may apply.