For patients prescribed SPRYCEL
Pricing Information
Like many patients, knowing what you may pay for treatment can be a major concern. That’s why
Bristol Myers
Squibb (BMS) is committed to helping
you understand your out-of-pocket
(OOP)
costs and possible resources that
may help make them more affordable.
For adult patients receiving SPRYCEL, the list price is
$15,161* per month. Most patients will pay less.
Call 1-855-SPRYCEL
(1-855-777-9235) to request an Insurance Benefits Review†
and co-pay card information.
If you have commercial insurance:
Commercially insured patients who qualify for the SPRYCEL Assist co-pay program may pay as
little as $0 per monthly supply.‡
Call 1-855-SPRYCEL (1-855-777-9235) to request an Insurance Benefits Review and
co-pay card information, or request an activated co-pay card.
If you have Medicare:
Patients who have prescription insurance through Medicare may pay $0 to $3,328 per month
for SPRYCEL. 74% of Medicare patients pay $25 or less per month. For SPRYCEL, your costs
are determined by your pharmacy coverage such as Medicare Part D, Medicare Advantage
(a.k.a., Part C), by your coverage phase, and your income level. Use this link to learn
about costs for Medicare drug coverage. Certain
patients may be eligible for Low-Income Subsidy,
also known as "Extra Help."
Use this link to learn more.
We can help you find out what your costs may be. Call 1-855-SPRYCEL
(1-855-777-9235) to
request an
Insurance Benefits Review.
If you have Medicaid:
Patients who have Medicaid may pay $0 to $20 per month for SPRYCEL. To find out if you qualify for
Medicaid, or to get more information about co-payments in your state, use this link to visit the Medicaid
website.
If you do not have insurance coverage:
If you do not have prescription drug coverage or your insurance does not cover SPRYCEL, you may
pay the list price shown above, along with any additional pharmacy charges or
discounts based on
where you purchase
your prescription medicine.
Call 1-855-SPRYCEL (1-855-777-9235) to explore your coverage options.
Call SPRYCEL Assist at
1-855-SPRYCEL (1-855-777-9235)
for help with determining
your
prescription coverage and potential
savings opportunity.
*As of January 2021, for a 30-day supply of 100 mg or 140 mg tablets. List price is also known as wholesale
acquisition cost, or WAC. WAC is the price at which pharmaceutical manufacturers sell their products to
wholesalers. Most people do not pay the list price for SPRYCEL. The pricing for pediatric patients may vary.
†The completion and submission of all documentation to the patient's insurance plan is the responsibility of the provider and patient.
Bristol-Myers Squibb and its agents cannot guarantee coverage for any treatment.
‡For eligible commercially insured patients enrolled in the SPRYCEL Assist program, the patient pays $0
out-of-pocket drug cost per 1-month supply. The program covers a maximum of $15,000 in co-pays per
calendar year (excluding certain dispensing costs). Please refer to the Full Eligibility Terms and Conditions.