We're Here to Support You During Treatment With ZYNYZ® (retifanlimab-dlwr)
At IncyteCARES for ZYNYZ, our team can help you understand your insurance coverage, explore financial
For Enrolled Patients, Our Team Will:
- Call you to review your insurance coverage for ZYNYZ
- Assess your eligibility for savings or financial assistance programs*
- Explain additional support and resources available during your treatment
*Terms and conditions apply. Terms of these programs may change at any time.
Financial Assistance, Savings, and Support Options for ZYNYZ
For Eligible Patients With Commercial Health Insurance
IncyteCARES for ZYNYZ Savings Program
IncyteCARES for ZYNYZ Savings Program
Eligible patients can receive ZYNYZ for as little as $15, subject to certain limits†
To qualify, you must:
- Have commercial healthcare coverage. Patients insured under federal or state government healthcare programs—including Medicare Part B, Medicare Advantage, Medicaid, TRICARE, or any state medical or pharmaceutical assistance program—are not eligible. Patients without healthcare coverage are also not eligible
- Be a resident of the United States or Puerto Rico
- Have a valid prescription for ZYNYZ for an FDA-approved use
†Uninsured, cash-paying, or Alternate Funding Program (AFP) patients are not eligible. Not valid for patients insured through Medicare Part B, Medicare Advantage, Medicaid, TRICARE, or any state medical or pharmaceutical assistance program. Patient enrollment in a copay adjustment program, such as a maximizer or accumulator program, may impact the value of this offer. Annual benefit maximum applies, as may other restrictions. Program benefit applies to medication cost only and does not cover any costs to administer the medication. Valid prescription for ZYNYZ® (retifanlimab-dlwr) for an FDA-approved indication or compendia-recognized use is required. Please see the full Patient Terms and Conditions or call IncyteCARES for ZYNYZ at 1-855-452-5234. Update effective as of January 1, 2024.
†Uninsured, cash-paying, or Alternate Funding Program (AFP) patients are not eligible. Not valid for patients insured through Medicare Part B, Medicare Advantage, Medicaid, TRICARE, or any state medical or pharmaceutical assistance program. Patient enrollment in a copay adjustment program, such as a maximizer or accumulator program, may impact the value of this offer. Annual benefit maximum applies, as may other restrictions. Program benefit applies to medication cost only and does not cover any costs to administer the medication. Valid prescription for ZYNYZ® (retifanlimab-dlwr) for an FDA-approved indication or compendia-recognized use is required. Please see the full Patient Terms and Conditions or call IncyteCARES for ZYNYZ at 1-855-452-5234. Update effective as of January 1, 2024.
To enroll, you can either:
- Call IncyteCARES for ZYNYZ at 1-855-452-5234 , Monday through Friday, 8 AM–8 PM ET. A representative will ask a few questions. If you are eligible, we can enroll you in the Savings Program immediately so you can begin receiving ZYNYZ for as little as $15 out-of-pocket cost.
- Ask your Healthcare Professional to enroll you in the Savings Program.
For Eligible Patients Who Are Uninsured or Underinsured for ZYNYZ
IncyteCARES for ZYNYZ Patient Assistance Program
IncyteCARES for ZYNYZ Patient Assistance Program
Eligible patients can receive ZYNYZ free of charge‡
The IncyteCARES for ZYNYZ Patient Assistance Program (PAP) helps eligible patients who do not have medical insurance or who have trouble affording their out-of-pocket costs for ZYNYZ. The program provides free medication, but does not cover the cost to give you your infusion. No purchase contingencies or other obligations apply.
To qualify, you must:
- Be confirmed as eligible for and enrolled in IncyteCARES for ZYNYZ
- Be a resident of the United States or Puerto Rico
- Have a valid prescription for ZYNYZ for an FDA-approved use
- Meet one of these 3 criteria:
Uninsured
- You have no medical coverage and meet household income criteria
Underinsured
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- You have Medicare Part B and meet household income criteria and additional program requirements
- You have any other type of healthcare insurance (commercial, Medicaid, etc) but have exhausted or been denied coverage for ZYNYZ and meet household income criteria
To apply, you can either:
- Call IncyteCARES for ZYNYZ at 1-855-452-5234, Monday through Friday, 8 AM–8 PM ET.
To start, we’ll ask you a few questions to help determine your eligibility for this program.
If you qualify, you must send us proof of your current household income. It can be one of the following: your most recent federal income tax return, your most recent W-2 earnings statement from your employer, or one month of your recent pay stubs. Once we review your income information, we’ll notify you if you are fully approved for the IncyteCARES Patient Assistance Program and can receive ZYNYZ for free.†
- Ask your Healthcare Professional to submit an application form for you.
‡Terms and conditions apply. Terms of this program may change at any time.
Patient Authorization Form
Your Healthcare Professional or an IncyteCARES for ZYNYZ representative may ask you to fill out and submit the following form to complete your program application.
Patient Authorization for Enrolling in IncyteCARES for ZYNYZ
Submit your completed form by:
Fax to 1-855-525-7207 or Mail to IncyteCARES for ZYNYZ, PO Box 221798, Charlotte, NC 28222-1798
For All Patients
Information About Nonprofit or Other Support Organizations
Information About Nonprofit or Other Support Organizations
Patients may be eligible for help with medicine, treatment-related travel, and other costs.
If you do not qualify for our IncyteCARES for ZYNYZ Savings or Patient Assistance Programs, we may be able to provide information about other organizations or independent foundations that offer support. If you’re eligible, these independent organizations sometimes provide help with your medicine costs, transportation or lodging expenses related to treatment, or counseling services offered at reduced or no cost. Eligibility and availability of these programs are determined by the individual organizations.
To learn more:
Call IncyteCARES for ZYNYZ at 1-855-452-5234, Monday through Friday, 8 AM–8 PM ET.