Companies A-Z

Morphosys

Morphosys offers the My Mission Support program to patients prescribed Monjuvi. The My Mission Support program is a resource for access and reimbursement support for patients.

For more information, search Monjuvi in this Guide, go online, call 855.421.6172, Monday through Friday, 8:00 AM to 8:00 PM EST.

Oncology-related products: Monjuvi^® (tafasitamab-cxix) for injection

Patient Assistance Program

MorphoSys Foundation Patient Assistance Program

Through the MorphoSys Foundation Patient Assistance Program, it is possible to obtain treatment at no cost. To qualify, patients must meet certain financial criteria.

Eligibility is determined on a case-by-case basis through a combination of the following criteria:

• Patient's income is less than approximately $82,000 for an individual or $170,000 for a family of four (based on 2020 federal poverty limits)

• Patient has a United States address

• Patient's insurance status—patient has no insurance at all, or patient's co-pay responsibility through their insurer presents a financial hardship.

If a patient’s income or insurance coverage has been impacted by COVID-19, these circumstances will be considered as the program determines their eligibility.

To enroll patients, go online or submit the completed enrollment form via fax to 866.870.6241 or email it to access@mymissionsupport.com.

For any questions, call 855.421.6172, Monday through Friday, 8:00 AM to 8:00 PM EST.

Reimbursement Assistance

My Mission Support

The My Mission Support program is a resource for healthcare providers for access and reimbursement support for their patients. Its field access and reimbursement managers can provide assistance to support access to Monjuvi. Program specialists can help research patient-specific benefits and answer any questions related to coding and coverage for Monjuvi.

In the event of a claim denial, My Mission Support can research the denial reason and assist healthcare providers in the preparation of an appeal submission. Once the appeal is submitted, program specialists can follow up with the insurer until a coverage determination is made.

Enroll patients online or submit the completed enrollment form via fax to 866.870.6241 or via email to access@mymissionsupport.com.

For questions, call 855.421.6172, Monday through Friday, 8:00 AM to 8:00 PM EST.

Co-Pay Card/Out-Of-Pocket Cost Assistance

My Mission Support Co-Pay Assistance Program

Commercially insured patients taking Monjuvi may be able to receive assistance through the My Mission Support Co-Pay/Coinsurance Assistance Program. If eligible, patients may pay as little as $0 for Monjuvi, up to $25,000 per calendar year to help with patients' out-of-pocket costs.

In order to be eligible for the program, patients:

• Must have commercial insurance

• Must not have Medicare, Medicaid, or other government insurance

• Must meet certain guidelines set forth in the program’s terms and conditions.

To enroll in the program, go online or complete the following sections of the My Mission Support enrollment form:

• Sections 1 through 4 regarding co-pay 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.

Fax the completed form to 866.870.6241 or email it to access@mymissionsupport.com. For questions, call 855.421.6172, Monday through Friday, 8:00 AM to 8:00 PM EST.

Independent Charitable Foundations/Organizations

My Mission Support Referrals

Patients with coverage for Monjuvi 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.

My Mission Support can provide healthcare professionals or patients with contact information for independent third-party organizations that may be able to assist patients with the following:

• Deductibles

• Co-pays/coinsurance

• Insurance premiums

• Treatment-related costs, such as transportation, home care and child care.

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

For more information, call 855.421.6172, Monday through Friday, 8:00 AM to 8:00 PM EST.