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

prior authorization

Libtayo prior authorization resources

Most recent Libtayo prior authorization forms

View By Payer
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

OTHER
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Appeals

OTHER
Sample Letter of Medical Exception

OTHER
PA Checklist
Learn More

Benefits investigation

PDF
Libtayo Surround Enrollment Form

PDF
Libtayo Surround Enrollment Form - Spanish
Learn More

financial assistance

Libtayo financial assistance options

Co-pay savings program

commercial only

PDF
Libtayo Surround Enrollment Form

PDF
Libtayo Surround Enrollment Form - Spanish
Enroll in Patient Savings Program
Enroll in Patient Savings Program (HCP Office)
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Libtayo Surround Enrollment Form

PDF
Libtayo Surround Enrollment Form - Spanish
Learn More

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 PAGE
About Libtayo: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
How Libtayo Works: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Libtayo: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Resources: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Caregiver Resources: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Navigators Flashcard
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Biomarker Testing: Non-Small Cell Lung Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Non-Small Cell Lung Cancer - English
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Non-Small Cell Lung Cancer - Korean
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Non-Small Cell Lung Cancer - Vietnamese
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Non-Small Cell Lung Cancer - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient 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

PDF
Libtayo Surround Copay Program Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Libtayo Surround Overview Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Libtayo: Basal Cell Carcinoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
How Libtayo Works: Basal Cell Carcinoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Receiving Libtayo: Basal Cell Carcinoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Basal Cell Carcinoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Before and After Photos: Basal Cell Carcinoma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Basal Cell Carcinoma - English
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Brochure: Basal Cell Carcinoma - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Patient Wallet Card - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link