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Affording Your Medicine

While other people may be on the same medication as you, every patient who receives a VANFLYTA prescription has unique circumstances. Daiichi Sankyo Access Central Coordinators are here to help. Learn about financial support options by clicking the three tabs below.

Affording Your Medicine - Tabs

VANFLYTA Copay Program

Eligible patients may pay as little as $0 per prescription.

  • Qualifying patients may pay as little as $0 per prescription of VANFLYTA, with a maximum benefit of $26,000 per calendar year
  • The patient must have commercial insurance coverage
  • There are no income requirements for eligibility

Easy Eligibility Check and Enrollment

2 simple ways to enroll

The information provided on the Patient Enrollment Form will be used by the network specialty pharmacy to determine whether the patient is eligible for the VANFLYTA Savings Program. If the patient is eligible, the specialty pharmacy will automatically enroll the patient and call your patient to inform them.

VANFLYTA Savings Program Terms and Conditions

This program is available to eligible patients with commercial insurance. Patients participating in government healthcare insurance programs are not eligible, including patients participating in Medicare, Medicaid, Medigap, TRICARE, Veterans Affairs (VA), Department of Defense (DoD), or any state-funded programs. Eligible patients will be automatically reenrolled in the program on an annual basis contingent upon the patient’s ability to meet all requirements set forth by the program. Amounts paid under the program are not eligible for reimbursement by any third party. Patients may be required to notify their insurance company of any benefits received under the program. The program is not insurance. Patients can enroll up to 30 days after the first VANFLYTA treatment and utilize a retroactive enrollment period for assistance on dates of service that took place prior to enrollment. The practice or patient must call an Access Central Coordinator for assistance on retroactive enrollment. Daiichi Sankyo, Inc, reserves the right to rescind, revoke, or amend the program at any time, without notice.

Call an Access Central Coordinator 1-866-4-DSI-NOW or your network specialty pharmacy for assistance.

The completion and submission of coverage-related documentation are the responsibility of the patient and healthcare provider. Daiichi Sankyo, Inc. makes no representation or guarantee concerning coverage or reimbursement for any service or item. A completed Patient Enrollment Form includes signatures from both the physician and the patient. Before submitting, please ensure all required information is provided.