HELPING PATIENTS ACCESS THE CARE THEY NEED

The InnateCaresTM program provides personal support to connect patients to affordability programs and streamline access and reimbursement for LUMOXITI. InnateCares provides:

  • Assistance with understanding patient insurance coverage and pharmacy options
  • Prior authorization support
  • Claims and appeal process support

Connect Your LUMOXITI Patients to Affordability Options

Find the right affordability options for your patients

ACCESS AND REIMBURSEMENT

InnateCaresTM offers a range of resources to help support your patients and your practice once you prescribe LUMOXITI.

LUMOXITI Enrollment Form

LUMOXITI Coding Resource

LUMOXITI Distribution Sheet

LUMOXITI Affordability Brochure

LUMOXITI Co-pay Savings Program

The LUMOXITI Co-pay Savings Program helps assist eligible, commercially insured patients with out-of-pocket costs.

Who can apply?

  • Patients who are covered by commercial insurance, and their insurance does not cover the full cost of their prescription
  • Residents of the United States or Puerto Rico
  • You are ineligible if prescriptions are paid by any state or Federally funded programs, including but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE
  • Patients with a valid prescription to accompany the LUMOXITI Co-pay Savings Program offer

What to know

What happens once an eligible patient is enrolled in the LUMOXITI Co-pay Savings Program?
A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy/practice or by calling an InnateCares representative. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for LUMOXITI. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum.

What are the specific costs associated with the LUMOXITI Co-pay Savings Program?
The patient pays $0 per infusion, program pays remaining out-of-pocket costs up to a maximum of $26,000 per year. The out-of-pocket costs covered by the program can include the cost of the product itself and/or the cost of infusion of the product (program maximum of $100 per infusion assistance). Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for infusion assistance.

What does the LUMOXITI Co-pay Savings Program cover?
The LUMOXITI Co-pay Savings Program covers the cost of the drug and administration but does not cover costs for office visits or any other associated costs.

Are there income requirements to participate in the program?
No. There are no income requirements to participate in the program.

Where can I find additional information?
For additional information, please call an InnateCares representative at 1-844-694-6628 Monday – Friday, 8 AM – 8 PM EST.

AZ&Me Prescription Savings Program


AZ&Me Prescription Savings Program provides AstraZeneca medicines at no cost if you qualify.

Who can apply?

  • People without health insurance
  • Medicare Part D and/or B recipients
  • Those who have recently experienced a financial crisis
  • Legal residents of the United States or Puerto Rico

What to know

Eligibility rules apply, please call an AZ&Me representative for more information at 1-800-AZandMe (1-800-292-6363).

Independent Patient Assistance Foundations

Assistance may be available through independent foundations such as those listed below. Foundations can provide a variety of assistance types: co-pay, transportation, premium, patient education, etc.

Who can apply?

These foundations are not associated with Innate Pharma; specific details and eligibility requirements can be found directly at the foundations’ websites.

Patient Access Network Foundation
www.PANfoundation.org
1-866-316-7263

Good Days Fund
www.mygooddays.org
1-877-968-7233

Patient Advocate Foundation
www.patientadvocate.org
1-800-532-5274

HealthWell Foundation
www.healthwellfoundation.org
1-800-675-8416

CancerCare Co-Payment Assistance Foundation
www.cancercare.org
1-866-552-6729

The Assistance Fund
www.theassistancefund.org
1-855-845-3663

Leukemia & Lymphoma Society
www.lls.org
1-800-955-4572

Patient Services, Inc.
www.patientservicesinc.org
1-800-366-7741

What to know

For additional information, please call an InnateCares representative at 1-844-694-6628 Monday – Friday, 8 AM – 8 PM EST.