Dosage & Administration Biomarker testing Drug label Prior authorization Financial assistance

Patient education People also ask

Libtayo

(cemiplimab)

7 ML cemiplimab-rwlc 50 MG/ML Injection [Libtayo]

NO BLACK BOX WARNING

Dosage & administration

The recommended dosage of LIBTAYO is 350 mg as an intravenous infusion over 30 minutes every 3 weeks.

biomarker testing

Libtayo clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Libtayo prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Libtayo prior authorization resources

Most recent Libtayo prior authorization forms

Verified: Sep 28, 2023Cigna - Libtayo Prior Authorization Form

Verified: Sep 21, 2023Aetna - Libtayo Prior Authorization Form

Verified: Sep 20, 2023Aetna - Medicare Part B Libtayo Prior Authorization Form

OTHERComplete Letter of Medical Necessity

OTHERCoverage Authorization Appeals

OTHERSample Letter of Medical Exception

OTHERPA Checklist

Learn More

Benefits investigation

PDFLibtayo Surround Enrollment Form

PDFLibtayo Surround Enrollment Form - Spanish

Learn More

financial assistance

Libtayo financial assistance options

Co-pay savings program

commercial only

PDFLibtayo Surround Enrollment Form

PDFLibtayo Surround Enrollment Form - Spanish

Enroll in Patient Savings Program

Enroll in Patient Savings Program (HCP Office)

Learn More

Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Foundation programs

under insured

no insurance

goverment insurance

65+

PDFLibtayo Surround Enrollment Form

PDFLibtayo Surround Enrollment Form - Spanish

Learn More

Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Libtayo patient education

Getting started on Libtayo

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

BRAND PAGEAbout Libtayo: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERHow Libtayo Works: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERReceiving Libtayo: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGESide Effects: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERPatient Resources: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERCaregiver Resources: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEOPatient Stories: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Navigators Flashcard

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERBiomarker Testing: Non-Small Cell Lung Cancer

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer - English

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer - Korean

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer - Vietnamese

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer - Spanish

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Non-Small Cell Lung Cancer - Chinese

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient Wallet Card - English

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFLibtayo Surround Copay Program Brochure

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFLibtayo Surround Overview Brochure

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGEAbout Libtayo: Basal Cell Carcinoma

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERHow Libtayo Works: Basal Cell Carcinoma

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERReceiving Libtayo: Basal Cell Carcinoma

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGESide Effects: Basal Cell Carcinoma

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERBefore and After Photos: Basal Cell Carcinoma

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Basal Cell Carcinoma - English

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Brochure: Basal Cell Carcinoma - Spanish

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDFPatient Wallet Card - Spanish

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link