Financial assistance and coverage support

myAgios Patient Support Services can connect your patients to financial
assistance and coverage support programs to help with access to
TIBSOVO® (ivosidenib tablets)

myAgios Patient Support Services can connect your patients to financial assistance
and coverage support programs to help with access to TIBSOVO® (ivosidenib tablets)

The Commercial $25 Co-Pay Program
can help with out-of-pocket costs

This program lowers costs for eligible patients to no more than $25 per prescription if their
co-pay exceeds that amount, with a maximum benefit of $25,000 per calendar year.

  • There are no income restrictions
  • Available to eligible patients with commercial/private insurance
  • Patients participating in government healthcare insurance are not eligible

Healthcare providers can apply on behalf of their patients at myAgios-copay.com.
*Please see full Terms and Conditions for more information for each program.

The Patient Assistance Program (PAP) offers free prescriptions to eligible uninsured and underinsured patients

  • May apply to patients with commercial or state/government insurance
  • PAP prescriptions will be reviewed and filled by myAgios Patient Support Services
  • If approved, patients must reapply and continue to meet eligibility requirements each
    calendar year

Apply on behalf of patients by completing the appropriate sections of the myAgios Enrollment Form and faxing to myAgios (1-844-409-1143).
*Please see full Terms and Conditions for more information for each program.

Other forms of assistance may be available, including assistance from independent foundations for patients with government and commercial insurance. Network specialty pharmacies or myAgios can provide a referral to one of these foundations. Eligibility is determined by the individual foundation. Agios is not affiliated with these organizations.

Eligible patients with commercial and government insurance who experience a delay in insurance coverage may receive QuickStart* until coverage begins

Free 30-day prescription (allowing for 1 refill, for a total of 60 days) available to eligible new patients experiencing coverage delays of 5 or more days after submission of a completed prior authorization.

Apply on behalf of patients by completing the appropriate sections of the
myAgios Enrollment Form and faxing to myAgios Patient Support Services
(1-844-409-1143).

QuickStart prescriptions will be reviewed and filled by myAgios.

Note: If sending the
myAgios Enrollment Form to a network specialty pharmacy, the specialty pharmacy will coordinate with myAgios.

*Please see full Terms and Conditions for more information for each program.

Eligible commercially insured patients who experience an interruption in coverage may be eligible for the Coverage Interruption Program

Free 30-day prescription (allowing for 2 refills, for a total of 90 days) for eligible patients experiencing an interruption in coverage. Patients participating in government and state healthcare insurance are not eligible.

Apply on behalf of patients by completing the appropriate sections of the
myAgios Enrollment Form
and faxing to myAgios Patient Support Services
(1-844-409-1143).

Coverage Interruption prescriptions will be reviewed and filled by myAgios.

Note: If sending the
myAgios Enrollment Form to a network specialty pharmacy, the specialty pharmacy will coordinate with myAgios.

*Please see full Terms and Conditions for more information for each program.

Commercial $25 Co-Pay Program

The Commercial $25 Co-Pay Program can help with out-of-pocket costs

This program lowers costs for eligible patients to no more than $25 per prescription if their co-pay exceeds that amount, with a maximum benefit of $25,000 per calendar year.

  • There are no income restrictions
  • Available to eligible patients with commercial/private insurance
  • Patients participating in government healthcare insurance are not eligible
Healthcare providers can apply on behalf of their patients
at myAgios-copay.com.
*Please see full Terms and Conditions for more information for each program.

Patient Assistance Program

The Patient Assistance Program (PAP) offers free prescriptions to eligible uninsured and underinsured patients

  • May apply to patients with commercial or state/government insurance
  • PAP prescriptions will be reviewed and filled by myAgios Patient Support Services
  • If approved, patients must reapply and continue to meet eligibility requirements each calendar year
Apply on behalf of patients by completing the appropriate sections of the myAgios Enrollment Form and faxing to myAgios (1-844-409-1143).
*Please see full Terms and Conditions for more information for each program.

Other forms of assistance may be available, including assistance from independent foundations for patients with government and commercial insurance. Network specialty pharmacies or myAgios can provide a referral to one of these foundations. Eligibility is determined by the individual foundation. Agios is not affiliated with these organizations.

QuickStart Program

Eligible patients with commercial and government insurance who experience a delay in insurance coverage may receive QuickStart* until coverage begins

Free 14-day prescription (allowing for 3 refills, for a total of 56 days) available to eligible new patients experiencing coverage delays of 5 or more days after submission of a completed prior authorization.

Apply on behalf of patients by completing the appropriate sections of the
myAgios Enrollment Form and faxing to myAgios Patient Support Services
(1-844-409-1143).

QuickStart prescriptions will be reviewed and filled by myAgios.

Note: If sending the
myAgios Enrollment Form to a network specialty pharmacy, the specialty pharmacy will coordinate with myAgios.

*Please see full Terms and Conditions for more information for each program.

Coverage Interruption Program

Eligible commercially insured patients who experience an interruption in coverage may be eligible for the Coverage Interruption Program

Free 30-day prescription (allowing for 2 refills, for a total of 90 days) for eligible patients experiencing an interruption in coverage. Patients participating in government healthcare insurance are not eligible.

Apply on behalf of patients by completing the appropriate sections of the
myAgios Enrollment Form
and faxing to myAgios Patient Support Services
(1-844-409-1143).

Coverage Interruption prescriptions will be reviewed and filled by myAgios.

Note: If sending the
myAgios Enrollment Form to
a network specialty pharmacy, the specialty pharmacy will coordinate with myAgios.

*Please see full Terms and Conditions for more information for each program.

If you have questions, please call 1-844-409-1141,
Monday through Friday 8 AM to 6 PM ET