Access and Reimbursement Information

Do you need help with co-pays? 

Sometimes, your healthcare plan asks you to make a co-pay. Your co-pay is a fixed fee for a doctor visit, a procedure done in the office, or for your medicine. Many plans want you to make a co-pay when your Jakafi is sent to you.

With some healthcare plans, the co-pay is small—maybe a few dollars. Some plans ask you to make a very high co-pay. It can be up to several hundred dollars each time you need more Jakafi. The amount of the co-pay is up to your plan. Paying it is up to you. It might be more than you can afford to pay. Does this mean you need to give up on your Jakafi treatment? No. IncyteCARES may be able to help you.

If you have private or commercial prescription insurance, you may be eligible to receive Jakafi for no more than $50 per month, depending upon your income.

To qualify for co-pay assistance through IncyteCARES, patients must meet the following criteria:

  • Commercially or privately insured
  • Earn less than $100,000 per year or up to 500% of the Federal Poverty Level (FPL), based on household size
  • US resident
  • Use of Jakafi is FDA approved

What if I have a Medicare Part D plan and still need help affording my Jakafi?

We might also refer you to an independent, nonprofit organization (INO) if you have a Medicare Part D plan. The INO can find ways to help you with the co-pay. Each INO has its own set of rules. We do not influence or control the INOs. But we can help you through the process of applying for help from an INO. We can also refer you to the INO offering the best help for you. While you are applying to programs, we may be able to help. If you have Medicare Part D, you might be able to get help paying for your true out-of-pocket costs. These are called TrOOP expenses. IncyteCARES can find out if you qualify for federal help. This is called the Part D Low-Income Subsidy. We can also find other assistance and help you apply.

To apply to an INO, gather up some information. You need to have statements about

  • Your medical condition and what drug your doctor wants you to use. Your medicine is Jakafi
  • Your doctor's name, address, telephone number, and fax number
  • Your healthcare plan information. Have your insurance card ready when you contact us. If you have more than one healthcare plan, have all the information ready
  • The amount of your co-pay, if you know this
  • Your household income. If you have a pay stub, tax return, or disability form, have it on hand

If IncyteCARES refers you to an INO, you need to fill out an application. Here are some questions you might want to ask the INO to get started:

  • How long does the approval process take after I apply for help?
  • How will I be told if I am approved for or denied help from you?
  • Will my doctor also be told what you decide?
  • If I am approved, where are the payments sent?
  • For how many months can I expect to receive this help?

Each application requires you to verify your financial needs. It can take from 2 weeks to 30 days for an INO to review your application. If you are turned down by one INO, we can refer you to another. Our role is limited to making a referral for you. IncyteCARES does not control the process. Nor do we control the decision the INO might make.

What if you can't pay for Jakafi? 

Are you one of the millions of people in this country who doesn't have a healthcare plan? Has your healthcare plan turned down paying for Jakafi? This doesn't mean you have to give up on your Jakafi treatment. The IncyteCARES patient assistance program helps people who don't have a healthcare plan. It can also help people whose plans have turned them down for Jakafi treatment. If you qualify, you may be able to get your Jakafi for free.

Eligibility criteria 

To qualify for financial support through IncyteCARES, patients must meet the following criteria:

  • No prescription drug coverage or your healthcare plan has said it won't pay for Jakafi and your appeal was turned down
  • Earn less than $100,000 per year or up to 500% of the FPL, based on household size
  • US resident
  • Use of Jakafi is FDA approved
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Reimbursement and Education

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