Affording Your Medicine

You do not have insurance or your insurance does not cover VANFLYTA (can apply to commercial or government insurance).

Basic eligibility requirements for the VANFLYTA Patient Assistance Program are as follows:

• You must have been prescribed VANFLYTA
• You must be a resident of the United States
• You must not have insurance, private or government, that covers VANFLYTA
• Your annual income must be at or below a certain level

If you are a Medicare beneficiary:

• You must not be eligible for, or enrolled in, the Low Income Subsidy (LIS) for Medicare Part D
• You must have spent at least 3% of your annual household income on prescription medicines in the current year

Access Central Coordinators can give you more detailed information on qualifying. Uninsured patients are enrolled for 12 months from their approval date, whereas Medicare patients are enrolled through December 31 of the year in which they are approved. Patients may reapply for the program. Daiichi Sankyo, Inc. reserves the right to change or cancel the program immediately with respect to any patient, or in its entirety, at any time.