Augtyro(repotrectinib)
AUGTYRO 40 MG Oral Capsule
NO BOXED WARNING

Dosage & Administration

Get Your Patient on Augtyro

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
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Augtyro Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
BMS Oncology & Reimbursement Form - Spanish
BMS Oncology Access & Reimbursement Form

Benefits investigation

BMS Oncology & Reimbursement Form - Spanish
BMS Oncology Access & Reimbursement Form

Financial Assistance

Financial Assistance Programs

Augtyro retails for $6,747 per dose without insurance or financial assistance.Depending on your patient's insurance situation and other eligibility criteria, they may be able to get Augtyro for significantly less. Review the program information below to determine what program can offer your patient the most benefits.
Copay Card Program$0 Copay
Available for
commercial
Program Details
  • Program Expires Calendar Year
Forms
BMS Oncology Access & Reimbursement Form
BMS Oncology & Reimbursement Form - Spanish
Enroll in Patient Savings Program

Augtyro PubMed™ News

Augtyro Patient Education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

About Augtyro
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Augtyro FAQs

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FAQ Data Source