Help your patients save on LEUKERAN®

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:


BIN #: 610600
RxGroup: 396
ID#: 39601973152

    Medicare / Government Insurance or No Insurance

    Medicare / government insured patients and patients without insurance may qualify to get LEUKERAN® at no cost.

    1. Fax: Fill out this PAP form (PDF) / Form en Espanol (PDF) and fax it to Waylis Patient Access and Affordability at (844) 470-1931
    2. Call: Call Waylis Patient Access and Affordability at (888) 218-8897 to get started.