Sun Pharma Patient Support Programs

Sun Pharma offers the Yonsa Support program and the Odomzo Support program to help patients while taking these medications (Table).

Yonsa Support and Odomzo Support

These programs offer comprehensive resources for patients taking Yonsa or Odomzo, including a Co-Pay Program, a Patient Assistance Program, and Prior Authorization Assistance for each drug.

Co-Pay Program

Eligible patients with commercial prescription insurance who are taking Yonsa may pay as little as $10 per month per prescription with a maximum benefit of $12,000 per calendar year. Patients residing in Massachusetts are excluded from this program. Eligible patients with commercial insurance who are taking Odomzo may pay as little as $10 per month with a maximum benefit of $15,000 per calendar year. Patients may be eligible if they:

• Have commercial insurance
• Are a resident of the United States, Puerto Rico, Guam, or the Virgin Islands
• Do not participate in any federal, state, or other government health insurance program, such as Medicare, Medicaid, Veterans Affairs, Department of Defense, or TRICARE.

Patient Assistance Program

Patients who are uninsured or underinsured may be eligible to receive free medication with the Patient Assistance Program. Uninsured patients may be eligible if they:

• Reside in the United States, Puerto Rico, Guam, or the Virgin Islands
• Have no insurance or their insurance coverage is terminated (commercial, Medicare, or Medicaid)
• Have income at or below 400% of the federal poverty level (FPL), or a hardship exception (between 400% and 425%) and cost of the drug is greater than 10% of their annual household income
• Have a diagnosis that is an on-label ICD-10-CM code
• Are at least 18 years of age.

Functionally uninsured patients may be eligible if they:

• Reside in the United States, Puerto Rico, Guam, or the Virgin Islands
• Do not have commercial insurance coverage for Yonsa or Odomzo and no prescription coverage, or emergency only, discount card only, exceeded yearly cap, generic coverage only, product not on formulary (no nonformulary exception available or nonformulary exception not approved)
• Are not enrolled in a government insurance program (such as Medicare or Medicaid) that provides any coverage for Yonsa
• Have income at or below 400% of the FPL, or a hardship exception (between 400% and 425%) and cost of the drug that is greater than 10% of their annual household income
• Have a diagnosis that is an on-label ICD-10-CM code
• Are at least 18 years of age.

Underinsured patients may be eligible if they:

• Reside in the United States, Puerto Rico, Guam, or the Virgin Islands
• Have insurance coverage, but cannot afford out-of-pocket costs
• Have income at or below 400% of the FPL, or a hardship exception (between 400% and 425%) and cost of the drug is greater than 10% of their annual household income
• Have a diagnosis that is an on-label ICD-10-CM code
• Are at least 18 years of age.

Prior Authorization Assistance, Powered by CoverMyMeds

Sun Pharma and CoverMyMeds are working together to expedite the prior authorization process to help your patients receive Yonsa or Odomzo as prescribed. For more information, contact CoverMyMeds at 866-452-5017.

Click here to learn more or to enroll your patient in the Yonsa Support program, or call 855-449-6672. Click here to enroll your patient in the Odomzo Support program, or call 844-563-6696.

TABLE Sun Pharma Oncology Drugs