Financial Assistance

A robust suite of financial assistance options for eligible patients

The My MISSION Support Program cares about making sure eligible patients get the help they need to start treatment.

Whether a patient is uninsured or has challenges with out-of-pocket costs through their insurance plan, My MISSION Support has a variety of programs that may be able to assist.

To find out more, patients may call 855-421-6172, Monday to Friday, 8 am to 8 pm ET, for personalized support from a My MISSION Support Program Specialist.

Copay Assistance Program

Commercially insured patients taking MONJUVI may be able to receive assistance through the My MISSION Support Copay/Coinsurance Assistance Program.

If eligible, patients may pay as little as $0 for MONJUVI.

My MISSION Support provides assistance up to $25,000 per calendar year to help with patients' out-of-pocket costs for MONJUVI.

In order to be eligible for My MISSION Support Copay Assistance, patients:

To enroll patients in the My MISSION Support Copay Program, please complete the following sections of the My MISSION Support Enrollment Form:

  • Sections 1 through 4 regarding copay support and patient and insurance specific information
  • Sections 5 and 7 regarding physician information and signature
  • Sections 9 and 10 regarding patient signature and consent

Enroll a patient in the My MISSION Support Copay Program

Patient Assistance Program

We are committed to improving the lives of patients and caregivers, giving back to the communities in which we live and work, and providing compassion and resources to people in crisis. Through the My MISSION Support Patient Assistance Program, it is possible to obtain treatment at no cost.

To qualify, patients must meet certain criteria. Eligibility is determined on a case-by-case basis through a combination of the following:

  1. Income: Patients income is less than approximately $88,000 for an individual or $180,000 for a family of 4
  2. Patient has a US address
  3. Insurance status
    • No insurance at all, or
    • Patient copay responsibility through their insurer presents a financial hardship

Independent Support Organizations

Patients with coverage for MONJUVI (tafasitamab-cxix) through Medicare (either through Medicare Advantage or traditional Medicare), Medicaid, or other government-sponsored insurance may be eligible for support through independent third-party foundations.

We can provide you with contact information for independent third-party organizations* that may be able to assist your patients with the following:

  • Deductibles
  • Copays/Coinsurance
  • Insurance Premiums
  • Treatment-related costs, such as transportation, home care and child care

For more information, call My MISSION Support at 855-421-6172.

*Eligibility requirements are determined solely by the independent foundation and assistance availability will vary by organization.

How to Enroll