Simplify patient access to treatment with myBeOne Support
Please see below for more details on the services provided, including eligibility requirements.
Insurance verification
Let myBeOne Support help from the start by assessing coverage, including handling any prior authorization requirements and appeals process information.
Who’s eligible?
-
Patients with both commercial and government insurance plans
-
Patients prescribed BRUKINSA® (zanubrutinib)
-
No financial requirements
Bridge supply*
We want to ensure every patient is able to start BRUKINSA as soon as a prescription decision is made.
If your patient faces a coverage delay, your myBeOne Support Oncology Nurse Advocate can help.
The patient must demonstrate diligence in following up on coverage delays or appeals; once coverage has been determined, the bridge supply will be discontinued and the patient will no longer qualify.
*Terms and conditions apply.
Who’s eligible?
-
Patients with both commercial and government insurance plans
-
Patients prescribed on-label indications for BRUKINSA
-
No financial requirements
Co-pay support
The myBeOne Support program can help eligible patients with out-of-pocket costs for BRUKINSA.
Eligible patients may pay
0
per prescription
for BRUKINSA
Up to $25,000 per calendar year.*
First-time users need to visit BRUKINSAcopay.com or call myBeOne Support at 1-833-234-4363, Monday through Friday from 8 AM to 8 PM Eastern Time (ET), to activate their co-pay support.
Referral to independent patient assistance foundations†
The myBeOne Support program will provide eligible patients with information on independent charitable 501(c)(3) organizations that may be able to help with co-pay needs.
* Terms and conditions apply.
† Independent third-party organizations have their own rules for eligibility. BeOne Medicines has no involvement in their decision-making or eligibility criteria. This information is non-exhaustive and not meant as an endorsement from BeOne Medicines.
Commercial insurance
Who’s eligible?
-
Patients with commercial insurance plans
-
Patients prescribed on-label and compendia/National Comprehensive Cancer Network® (NCCN®)–listed indications
-
No financial requirements
Free product assistance*
The myBeOne Support program can provide BRUKINSA at no cost to uninsured patients (those with no insurance or no coverage due to payer denial) or underinsured patients (those whose out-of-pocket costs are unaffordable).
Who’s eligible?
-
Patients prescribed BRUKINSA
-
Patients who meet financial criteria (see table)
Who’s not eligible?
-
Patients who do not meet financial criteria (see table)
| Uninsured |
|---|
| Annual income |
| ≤ $150,000 |
| Underinsured | |
|---|---|
| Household size | Annual income |
| 1 | < $85,000 |
| 2 | < $115,000 |
| 3 | < $145,000 |
| 4 | < $175,000 |
*Terms and conditions apply.
Who’s eligible?
-
Patients prescribed BRUKINSA
-
Patients who meet financial criteria (see table)
Who’s not eligible?
-
Patients who do not meet financial criteria (see table)
Day-to-day living support*
When patients prescribed BRUKINSA or their caregivers require assistance with day-to-day needs, myBeOne Support Oncology Nurse Advocates can provide information about available resources and connect them to independent organizations that may be able to help, with resources including:
- Counseling services
- Support group information
- Transportation and lodging assistance
*Independent third-party organizations have their own rules for eligibility. BeOne Medicines has no involvement in their decision-making or eligibility criteria. This information is non-exhaustive and not meant as an endorsement from BeOne Medicines.
3 easy ways to get started
enroll online
Complete and submit the enrollment form online
FILL OUT FORM
CALL
Call myBeOne Support to
enroll a patient
M-F, 8 AM-8 PM ET
1-833-234-4363
Download and fax
Download the enrollment form and fax to:
1-877-828-5593
DOWNLOAD FORM
