Whether they are commercially insured, have Medicare or government insurance, or are uninsured, the Waylis Access and Affordability program has options to help eligible patients.
Terms and conditions apply. Call Waylis Access and Affordability Program for full details.
Commercial Insurance
Commercially insured patients may pay as little as $10 for their prescription. Information for the pharmacist here:
LEUKERAN® $10 Copay Card:
Provide this information to the pharmacist along with your prescription and insurance information:
BIN #: 610600
PCN#: AS
RxGroup: 396
ID#: 39601973152
Send Copay information via email:
We care about your privacy: your email address is only used to send you your savings card information and is not saved here or anywhere else. For more information, visit the privacy policy page.
Medicare / Government Insurance OR No Insurance
Medicare / government insured patients and patients without insurance may qualify to get Leukeran® at no cost.
- Fax: Fill out this PAP form (PDF) and fax it to Waylis Patient Access and Affordability at (844) 470-1931
- Call: Call Waylis Access and Affordability Program at (888) 218-8897 to get started.