Keytruda Copay Assistance Basics
Keytruda (pembrolizumab), made by Merck, offers copay assistance through the Keytruda Savings Program for commercially insured U.S. patients. It reduces out-of-pocket costs for the drug itself to as low as $0 per infusion, up to a $25,000 annual cap.[1] This covers copays, co-insurance, or deductibles but excludes government insurance like Medicare or Medicaid.
Who Qualifies for the Program
Eligibility requires:
- U.S. residency or treatment at a U.S. facility.
- Commercial (private) insurance covering Keytruda.
- Prescription for an FDA-approved use, such as melanoma, non-small cell lung cancer, or other listed cancers.
- Household income up to 800% of the federal poverty level (FPL) for some expanded help, though the core $0 copay has no strict income limit if commercially insured.[1][2]
Patients on government programs do not qualify and must explore alternatives like Merck's Patient Assistance Program for free medicine if income is low (typically under 500% FPL).
How to Apply and Get Started
Enroll online at keytruda.com/savings-resources, by phone (1-855-4-Keytruda), or through a doctor's office. Approval is instant for most; a savings card activates at the pharmacy or infusion center. Coverage lasts 12 months, renewable if still eligible.[1]
What If You're on Medicare or Uninsured?
Medicare patients can't use copay cards due to federal anti-kickback laws but may get help via Merck's Bridges to Access for free drug if income is below ~$60,000 for a single person (varies by state). Uninsured patients qualify for free Keytruda under the same low-income thresholds.[2][3]
Common Exclusions and Limits
- Not for government insurance.
- Caps at $25,000/year; resets January 1.
- Excludes non-FDA uses or out-of-country treatment.
- Doctors or staff can't be paid commissions for enrolling patients.[1]
Other Patient Support Options
Merck provides free nursing support, travel aid via Hope Lodge, and nutritional help through partnering nonprofits. For full details, check Merck's site or call.[2]
[1]: Keytruda Savings Program
[2]: Merck Patient Assistance Programs
[3]: DrugPatentWatch - Keytruda Patient Assistance