Savings, Financial Assistance,
and Support Options
for Niktimvo™ (axatilimab-csfr)
Healthcare Professionals
Enroll a Patient
For Eligible Patients With Commercial Prescription Drug Coverage
IncyteCARES Savings Program
IncyteCARES Savings Program
Eligible patients can receive Niktimvo for as little as $15, subject to certain limits†
To qualify, patients must:
- Have commercial prescription drug coverage. Patients insured under federal or state government prescription drug programs—including Medicare Part B or D, Medicare Advantage, Medicaid, or TRICARE—are not eligible. Patients without prescription drug coverage are also not eligible
- Be a resident of the United States or Puerto Rico
- Have a valid prescription for Niktimvo for an FDA-approved use
†Uninsured, cash-paying, or Alternate Funding Program (AFP) patients are not eligible. Not valid for patients insured through Medicare Part B, Medicare Advantage, Medicaid, TRICARE, or any state medical or pharmaceutical assistance program. Patient enrollment in a copay adjustment program, such as a maximizer or accumulator program, may impact the value of this offer. Annual benefit maximum applies, as may other restrictions. Program benefit applies to medication cost only and does not cover any costs to administer the medication. Valid prescription for Niktimvo™ (axatilimab-csfr) for an FDA-approved indication or compendia-recognized use is required. Please see the full Patient Terms and Conditions or call IncyteCARES for Niktimvo at 1-855-452-5234. Update effective as of January 20, 2025.
†Uninsured, cash-paying, or Alternate Funding Program (AFP) patients are not eligible. Not valid for patients insured through Medicare Part B, Medicare Advantage, Medicaid, TRICARE, or any state medical or pharmaceutical assistance program. Patient enrollment in a copay adjustment program, such as a maximizer or accumulator program, may impact the value of this offer. Annual benefit maximum applies, as may other restrictions. Program benefit applies to medication cost only and does not cover any costs to administer the medication. Valid prescription for Niktimvo™ (axatilimab-csfr) for an FDA-approved indication or compendia-recognized use is required. Please see the full Patient Terms and Conditions or call IncyteCARES for Niktimvo at 1-855-452-5234. Update effective as of January 20, 2025.
How to enroll your patients:
Download an enrollment form to enroll your patients in IncyteCARES. Eligible patients will be automatically
enrolled in the Savings Program.
If you prefer to enroll them in the Savings Program only, complete an application at
Once they are enrolled, a patient Member ID number is immediately issued. Your patient can begin receiving their Niktimvo for as little as $15 out-of-pocket cost right away.
For questions about the Savings Program application process, call the Help Desk at 1-833-415-4436,
How to request payment of your Savings Program patient’s coinsurance responsibility
Once your patient has been treated with Niktimvo, you can submit the documentation for your patient’s coinsurance responsibility by fax. We will match their Savings Program Member ID to the documentation for processing, then issue you a check referencing your patient’s name.
Be sure to submit the following proofs of purchase:
- CMS-1500 claim form
- Explanation of Benefits (EOB) from the primary commercial payer showing patient name and date of birth, medication name or NDC, patient responsibility amount, and date of service
or Fax payment requests and documentation to 1-833-970-3589.
For questions about this process, call 1-833-415-4436.
For Eligible Patients Who Are Uninsured or Underinsured
IncyteCARES Patient Assistance Program
IncyteCARES Patient Assistance Program
Eligible patients can receive medication free of charge‡
The IncyteCARES Patient Assistance Program (PAP) helps eligible patients who do not have health insurance or who have trouble affording their out-of-pocket costs for Niktimvo. No purchase contingencies or other obligations apply.
To qualify, patients must:
- Be confirmed as eligible for and enrolled in IncyteCARES
- Be a resident of the United States or Puerto Rico
- Have a valid prescription for Niktimvo for an FDA-approved use
- Meet one of these 3 criteria:
Uninsured
- Have no medical coverage and meet household income criteria
Underinsured§
- text
- Have Medicare Part B, Medicare Part D, or Medicare Advantage and meet household income criteria
- Have any other type of health insurance (commercial, Medicaid, etc) but have exhausted or been denied coverage for Niktimvo and meet household income criteria
How to enroll your patients:
First, you must enroll your patient in IncyteCARES.
If you’re not able to provide the patient’s required income information and/or authorizations on the form, a program representative will contact the patient by phone to gather this information.
For questions, call IncyteCARES at 1-855-452-5234, Monday through Friday,
‡Terms and conditions apply. Terms of this program may change at any time.
§Patients who are enrolled in an Alternate Funding Program (AFP) are not eligible to receive free drug.
For All Patients
Information About Nonprofit or Other Support Organizations
Information About Nonprofit or Other Support Organizations
Patients may be eligible for help with medicine, treatment-related travel, and other costs.
If patients do not qualify for our IncyteCARES Savings Program or Patient Assistance Program, we may be able to provide information about other organizations or independent foundations that offer support. If eligible, these independent organizations sometimes provide help with medicine costs, transportation or lodging expenses related to treatment, or counseling services offered at reduced or no cost. Eligibility and availability of these programs are determined by the individual organizations.
To learn more:
Call IncyteCARES at 1-855-452-5234, Monday through Friday,
We can give patients contact information and website addresses to find more information on other organizations and independent foundations that may be able to help with specific needs.
