Need support?
Connect live with Daiichi Sankyo AccessCentral4U
1-866-4-DSI-NOW (1-866-437-4669)
Mon – Fri, 8:00AM – 6:00PM ET, excluding holidays
Please see Medication Guide, including Important WARNING.
This site is intended for US residents 18 years of age or older.
VANFLYTA Access Central is becoming
During this time, you may see both program names in use.
Daiichi Sankyo remains dedicated to helping patients find financial assistance and resources to receive their medications with confidence. VANFLYTA4U is here to provide support and information to help.
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Welcome to
Please select if you are a US Healthcare Professional or Patient
The VANFLYTA Patient Savings Program can help you with your out-of-pocket costs if you have commercial or private insurance.
If you do not have commercial (or private) insurance or if you have government insurance (such as Medicare or Medicaid), please visit Support Resources to understand your options for assistance with out-of-pocket costs.
How do I know if I have commercial/private insurance?
Commercial (or private) insurance is any insurance not provided by the government. If you have commercial insurance, you most likely get it through your work, your parent's or spouse's work, or a healthcare exchange.
Eligible patients may pay as little as $0 per prescription.
You will be notified if you qualify once your healthcare provider writes your prescription. Terms and conditions may apply.
Am I eligible?
To be eligible for copay assistance, you must have commercial insurance. There are no income requirements for eligibility.
See below for full patient eligibility. Restrictions apply.
Easy enrollment
2 simple ways to enroll
- You and your doctor can fill out the Patient Enrollment Form and send it to your preferred network specialty pharmacy (Biologics or Onco360). The specialty pharmacy can then sign you up over the phone.
- You or your doctor's office can sign you up online.
OR
VANFLYTA Patient 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.
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.
The VANFLYTA Patient Assistance Program
The VANFLYTA Patient Assistance Program helps eligible uninsured, underinsured, or Medicare patients who are unable to meet their out-of-pocket costs receive financial assistance for VANFLYTA.
What does it mean to be uninsured or underinsured?
You do not have insurance or your insurance does not cover VANFLYTA (can apply to commercial or government insurance).
To apply, complete the Patient Enrollment Form and fax to 1-833-471-9988.
Enroll in the VANFLYTA Patient Assistance Program
This form cannot be completed without a doctor. Please ask your doctor to fill out the applicable sections of the form.
Through this program, you may be eligible to receive VANFLYTA at no cost.
Terms and conditions may apply.
Am I eligible?
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 or Puerto Rico.
- 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.
VANFLYTA4U 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.
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.
Need support?
Call Daiichi Sankyo AccessCentral4U today.
1-866-4-DSI-NOW (1-866-437-4669)
Mon – Fri, 8:00AM – 6:00PM ET, excluding holidays
Call the preferred specialty pharmacy with questions about VANFLYTA prescriptions and patient support.
Biologics (1-800-850-4306) or Onco360 (1-877-662-6633)
