Aliqopa

Indicated For

lymphoma

About This Medication

# Bayer US Patient Assistance Foundation Patient Guide: How to Get Aliqopa (copanlisib) at Low or No Cost Aliqopa (copanlisib) is a prescription medication used to treat certain types of lymphoma, and the **Bayer US Patient Assistance Foundation** offers it **at no cost** to eligible patients facing financial hardship who lack prescription coverage.[1][2][5] This guide explains everything you need to know about qualifying for and applying to this program in simple terms. It's designed for patients like you—clear, step-by-step, and focused on getting you the help you deserve. ## About Aliqopa (copanlisib) **Aliqopa (copanlisib)** is an injectable cancer drug manufactured by Bayer. It's approved by the FDA to treat adults with relapsed follicular lymphoma, a type of non-Hodgkin lymphoma, who have received at least two prior treatments.[1] It's given intravenously by a healthcare professional, typically every two weeks. Like many cancer therapies, it can be very expensive without assistance—often tens of thousands of dollars per treatment cycle. The Bayer US Patient Assistance Foundation covers Aliqopa for qualifying patients, shipping it directly to your doctor's office at no charge.[1][2] **Important note:** Always talk to your doctor about Aliqopa's benefits, side effects (like high blood sugar, infections, or low blood pressure), and if it's right for you. This program doesn't cover doctor visits or other costs. ## Who Qualifies? To join the program, you must meet **all** these criteria: - Live in the **United States or Puerto Rico**.[1] - Have **household income at or below certain limits** (exact percentages not publicly detailed, but typically around 400-500% of the Federal Poverty Level; proof may be requested).[1][2] - **No prescription insurance coverage** for Aliqopa, or your insurance doesn't cover Bayer medicines.[1][2] - Your doctor must confirm medical need and complete part of the application.[1] **Medicare and special cases:** - Patients with **Medicare Part D are generally not eligible** unless you qualify for Low-Income Subsidy (LIS/Extra Help) **and** provide proof of denial from that program (for those 65+ with income under 150% FPL).[2] - Medicaid-eligible but unenrolled patients need proof of denial from Medicaid.[2] - Include copies of **all** insurance cards (front/back), including Medicare ID if applicable.[2] The program is voluntary, free to apply, and doesn't require buying Bayer products. You must notify them within 30 days of changes in income or insurance.[2] ## Income Eligibility Breakdown Specific income thresholds aren't publicly published by the program, but eligibility is based on **total household income** before taxes.[1] They use electronic verification (via Experian Health) and may request proof like: - Recent 1040/1040EZ tax return - 1099 forms - W-2 wage statements - Proof of non-filing letter[1] Medical expenses **may** be deductible (not explicitly confirmed in available details).[program details] Here's a general **Federal Poverty Level (FPL) reference table** for 2026 (continental US; Alaska/Hawaii higher). Program likely uses ~400% FPL or similar, but call 1-866-228-7723 to confirm your situation: | Household Size | 100% FPL | 400% FPL | 500% FPL | |----------------|----------|----------|----------| | 1 person | $15,060 | $60,240 | $75,300 | | 2 people | $20,440 | $81,760 | $102,200| | 3 people | $25,820 | $103,280| $129,100| | 4 people | $31,200 | $124,800| $156,000| *Add ~$5,380 per extra person for 100% FPL. These are annual figures; program verifies individually.*[general knowledge; confirm with program] ## Insurance Requirements **No prescription coverage** for Aliqopa is key—you must check 'None' or confirm Bayer meds aren't covered.[1][2][program details] Provide: - Copies of **all** insurance cards (primary, secondary, Rx, Medicare ID).[2] - No commercial/employer plans in 'alternative funding' programs.[2] **Medicare Part D patients:** Not eligible without LIS denial proof if applicable.[2][program details] VA/Military or private insurance may disqualify unless no coverage for this med.[1] ## Step-by-Step Application Process 1. **Download the form:** Get the latest enrollment form from www.patientassistance.bayer.us (search for Bayer US Patient Assistance Foundation).[1][2] 2. **Complete Patient Section (pages 2-5):** Fill your name, address, DOB, household income, insurance details, and medications (check **Aliqopa**). A caregiver can help. Sign **both** authorization sections (pages 4-5) for info sharing.[1][2] 3. **Doctor completes HCP Section (page 6):** Your healthcare professional fills specialty, contact, and confirms prescription need. Include original prescription if your state requires.[1] 4. **Gather documents:** Insurance cards (front/back), income proof if requested.[1][2] 5. **Make a copy** for your records.[1] 6. **Submit:** - **Fax:** 1-866-575-6568 (include cover sheet).[1][2] - **Mail:** Bayer US Patient Assistance Foundation, P.O. Box 5670, Louisville, KY 40255.[1][2] - **Phone help:** Call 1-866-228-7723 (Mon-Fri, 9AM-6PM EST) for questions.[1][2] Use the checklist on page 7 to ensure completeness—incomplete apps are delayed or denied.[1] ## Timeline and Delivery - **Review:** Usually within **2 business days**, longer if incomplete.[7] - They'll contact you with approval/denial.[1] - **If approved:** Medication shipped **free to your provider's office** (not home).[program details] - **Reauthorization:** Required periodically—your doctor resubmits.[program details] ## Alternatives if Denied or No Other Options - **State Pharmaceutical Assistance Programs** (e.g., via your state's Medicaid office).[3] - **NeedyMeds.org** or **RxAssist.org** for other foundations. - **Cancer-specific aid:** Lymphoma Research Foundation or Patient Access Network (PAN) Foundation. - **Generic/biosimilars:** None available for Aliqopa.[program details] - **Extra Help for Medicare:** Apply at ssa.gov if low-income.[2] - **Appeal:** Call the program to discuss denial reasons.[1] ## Disclaimer This guide is for informational purposes based on publicly available program details as of 2026. Eligibility isn't guaranteed—rules can change. Bayer US Patient Assistance Foundation may end or modify anytime.[2] Consult your doctor, call 1-866-228-7723, or visit www.patientassistance.bayer.us for latest info. Not legal/medical advice. Word count: 1028.

Program information last verified: November 21, 2025