Copay Support and Financial Assistance
Eligible commercially insured patients can apply for copay support through the Revuforj® (revumenib) Copay Program.
With the Revuforj Copay Program, eligible patients with commercial insurance may
pay as little as $0 per prescription.*† No income restrictions apply.*
Click the button below to enroll your patient. You will be redirected to the Copay Program website where you will be asked to answer eligibility questions and confirm the terms and conditions.
Enroll in Copay Program
Please see Full Prescribing Information, including BOXED WARNING, and Medication Guide and Instructions for Use.
- Excludes cash-paying patients, Medicare Part A, B, C, or D, Medicaid, TRICARE, VA, DoD, or any other federal or state healthcare programs. Maximum benefits may apply. Must include a valid prescription for an FDA-approved indication in accordance with the Prescribing Information.
- All SyndAccess programs are subject to eligibility requirements and changes. Criteria above do not represent all criteria for each program. Must be a US resident or US territory resident with a valid prescription. Restrictions apply. See full terms and conditions.