Patient support for eligible and enrolled patients prescribed Tazverik
For HCPs
For Patients/Caregivers
IPSEN CARES Enrollment Is Quick and Easy
Eligible Patients must be enrolled to access all IPSEN CARES support offerings.
Patient and HCPs can fill out the IPSEN CARES Enrollment Form at the office. The form can either be filled out online and then submitted electronically, or it can be printed and then faxed to IPSEN CARES.
Once a completed Enrollment Form is received, an IPSEN CARES Patient Access Specialist will conduct a benefits verification to review the patient’s out-of-pocket costs associated with the Ipsen medication. Additional support offerings for which the patient may be eligible will be discussed at that time.
Free Medication
Uninsured patients may be eligible for free medication through our Patient Assistance Program. Patients may be eligible to receive free drug if they are experiencing financial hardship, have no insurance coverage, and received a prescription for an on-label use of Tazverik, as supported by information provided in the program application. Patients may enroll through IPSEN CARES. If eligible, they may receive free medication from Ipsen.
Please fill out an enrollment form if you're interested to see if you qualify.
Eligibility Criteria
- Patient meets the financial eligibility requirements for enrollment in the Patient Assistance Program based on income and other supporting financial documentation
- Patient has US residency
- Patient has a valid prescription for Tazverik
- Patient is currently uninsured or underinsured based on insurance verification
Quick Start Program
New patients may be eligible to receive a limited supply of free medication.
Eligibility Criteria
- Patient is uninsured, under-insured, or has prescription drug coverage either under a commercial (private) health plan and is actively pursuing initial coverage for Tazverik (tazemetostat)
- Patient has US residency
- Patient has a valid prescription for Tazverik
- Patient's coverage for Tazverik is delayed for more than 5 business days, and you have determined there is an immediate medical need to start treatment with Tazverik
If eligible, a 15-day supply (up to 30 days) of Tazverik will be provided to the patient until their prior authorization or coverage request for Tazverik is approved.
Bridge Supply Program
Helping existing patients access medication should they experience a change or delay in drug coverage.
Eligibility Criteria
- Patient has prescription drug coverage either under a commercial (private) health plan and is actively pursuing coverage for Tazverik
- Patient has US residency
- Patient has a valid prescription for Tazverik
- Patient's insurance coverage for Tazverik is delayed for more than 5 business days, and you have determined there is an immediate medical need to continue treatment with Tazverik
If eligible, a 15-day supply (up to 30 days) of Tazverik will be provided to the patient until their prior authorization or coverage request for Tazverik is approved.
Help with Copays?
Are you a healthcare professional or pharmacy looking to enroll your patient in the IPSEN CARES Copay Assistance Program?
Commercially-insured patients may be eligible to receive copay assistance. Note that only prescribers and specialty pharmacies can register patients for this program.
Eligibility Criteria
- You currently have commercial (private) health insurance that covers Tazverik
- You also have no primary or secondary insurance coverage under any state or federal healthcare program
- You have US residency
- Patient has a valid prescription for Tazverik
This offer is not valid for cash-paying patients or patients currently enrolled in Medicare, Medicaid, or any other federal or state healthcare program. Limitations apply. Void where prohibited.
Visit the Portal
Enroll NowPatient and Prescribing Information
Full Prescribing Information for Tazverik (tazemetostat) Tablets
Helpful Guides to Download/Print
IPSEN CARES HCP Flashcard
Download NowPatient Authorization
Patients are required to sign the Tazverik Patient Authorization Form every 3 years, or sooner if required by state law, to give the Patient Access Specialists at IPSEN CARES permission to access the patient’s personal health information in order to help with treatment. The form can be signed and submitted online, or by downloadable PDF, which must be printed, filled out, signed, and faxed.
Help With Copays?
Check for copay coverage. Considering that some patients need financial assistance, our copay assistance programs may help eligible* patients with the cost of their treatment.
The Tazverik Copay Assistance Program for eligible*, commercially insured patients is available by enrolling in IPSEN CARES. Patients may pay as little as $0 per prescription.
*Eligibility Criteria
- You currently have commercial (private) health insurance that covers Tazverik
- You also have no primary or secondary insurance coverage under any state or federal healthcare program
- You have US residency
- Patient has a valid prescription for Tazverik
This offer is not valid for cash-paying patients or patients currently enrolled in Medicare, Medicaid, or any other federal or state healthcare program. Limitations apply. Void where prohibited.
Free Medication
Uninsured patients may be eligible for free medication through our Patient Assistance Program. Patients may be eligible to receive free drug if they are experiencing financial hardship, have no insurance coverage, and received a prescription for an on-label use of Tazverik, as supported by information provided in the program application. Patients may enroll through IPSEN CARES. If eligible, they may receive free medication from Ipsen.
Please fill out an enrollment form if you're interested to see if you qualify.
Eligibility Criteria
- You Meet the financial eligibility requirements for enrollment in the Patient Assistance Program based on income and other supporting financial documentation
- You have US residency (including US territories)
- You have a valid prescription for Tazverik
- You are currently uninsured or underinsured based on insurance verification
IPSEN CARES Enrollment Form
Quick Start Program
New patients may be eligible to receive a limited supply of free medication.
Are you experiencing a delay in the authorization of Tazverik (tazemetostat)?
You may be eligible to receive a limited supply of free medication.
Eligibility Criteria
- You are uninsured, under-insured, or have prescription drug coverage either under a commercial (private) health plan and are actively pursuing initial coverage for Tazverik
- You have US residency
- You have a valid prescription for Tazverik
- Your coverage for Tazverik is delayed for more than 5 business days, and the doctor has determined there is an immediate medical need to start treatment with Tazverik
If eligible, a 15-day supply (up to 30 days) of Tazverik will be provided until the prior authorization or coverage request for Tazverik is approved.
Bridge Supply Program
Helping existing patients access medication should they experience a change or delay in drug coverage.
Eligibility Criteria
- You have prescription drug coverage either under a commercial (private) health plan and is actively pursuing coverage for Tazverik
- You have US residency
- You have a valid prescription for Tazverik
- Your insurance coverage for Tazverik is delayed for more than 5 business days, and your doctor has determined there is an immediate medical need to continue treatment with Tazverik
If eligible, a 15-day supply (up to 30 days) of Tazverik will be provided until the prior authorization or coverage request for Tazverik is approved.
Helpful Guides to Download/Print
IPSEN CARES Patient Flashcard
Download NowPatients and Healthcare Providers can also call IPSEN CARES at (866) 435-5677
