Copay

ServierONE connects your eligible patients to the right support programs and services that may help them pay for their TIBSOVO treatment.

The TIBSOVO copay program can help lower out-of-pocket costs for commercially insured patients

Enroll your patient

Eligible commercially insured patients may pay as little as $0 per prescription
for TIBSOVO through the Copay Program.

Who is eligible?*

  • Patients who reside in the U.S., U.S. territories, or Puerto Rico
  • Patients who are commercially or privately insured and paying a portion of the cost

*Not valid for patients whose prescription claims are reimbursed in whole or in part by any state or federal government program, including Medicaid, Medicare, Veterans Affairs (VA), Department of Defense (DOD), and TRICARE.

ServierONE® logo.

Patient support services

ServierONE® connects your eligible patients to the right support programs and services that may help them pay for their TIBSOVO treatment.

Support For Your Patient Every Step of the Way

We offer:

  • Support with insurance coverage and reimbursement
  • Financial assistance to help patients pay for TIBSOVO
  • Tools and resources to navigate insurance
  • Access to a one-on-one Patient Experience Manager

To receive more information

OR
CALL 1-800-813-5905 Monday‐Friday, 8 AM to 8 PM ET to contact a
Patient Services representative directly.

Register online for the Commercial Copay Program at ServierONE-copay.com.

Ordering and distribution network

National Drug Code (NDC)

NDCs 10-digit code: 72694-617-60
11-digit code: 72694-0617-60
Dosage strength 250 mg/tablet
Description 250-mg tablet: Blue oval-shaped film-coated tablet debossed “IVO” on one side and “250” on the other side

The red zero converts the 10-digit NDC to the 11-digit NDC. Some payers may require each NDC to be listed on the claim. Payer requirements regarding the use of NDCs may vary. Electronic data exchange generally requires use of the 11-digit NDC.


TIBSOVO® (ivosidenib tablets) bottle with two pills.

Tablet not to scale

Product information

How TIBSOVO® is supplied: 250-mg tablets, supplied in 60-count bottles (30-day supply) with a desiccant canister

Storage: Store at 20 to 25 ºC (68 to 77 ºF)


Distribution network for TIBSOVO

TIBSOVO is only available through our specialty distributors and network specialty pharmacies.

Network specialty pharmacies

TIBSOVO ships directly from the specialty pharmacy to your patient’s home or preferred location.

 

INDICATIONS

TIBSOVO is indicated for patients with a susceptible isocitrate dehydrogenase-1 (IDH1) mutation as detected by an FDA-approved test with:

Newly Diagnosed Acute Myeloid Leukemia (AML)

  • In combination with azacitidine or as monotherapy for the treatment of newly diagnosed AML in adults 75 years or older, or who have comorbidities that preclude the use of intensive induction chemotherapy
  • Relapsed or refractory AML.
INDICATIONS & IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION

WARNING: DIFFERENTIATION SYNDROME IN AML AND MDS

Patients treated with TIBSOVO have experienced symptoms of differentiation syndrome, which can be fatal. Symptoms may include fever, dyspnea, hypoxia, pulmonary infiltrates, pleural or pericardial effusions, rapid weight gain or peripheral edema, hypotension, and hepatic, renal, or multi-organ dysfunction. If differentiation syndrome is suspected, initiate corticosteroid therapy and hemodynamic monitoring until symptom resolution.