IZERVAY patient assistance

• IZERVAY My Way -- Astellas Patient Assistance Program

  Verified

  IZERVAY My Way -- Astellas Patient Assistance Program, run by Astellas Pharma US, Inc., provides the medication at no cost if you qualify. One eligibility path: "You're uninsured, or you're insured but IZERVAY isn't covered even after appeals."

  What it costs you

  $0

  Income limit, 1 person

  $150,000/yr

  Medicare

  Has a Medicare eligibility path.

  Checked

  08/19/26

  You're uninsured, or you're insured but IZERVAY isn't covered even after appeals

  Household size Annual income limit

  1 $150,000

  2 $150,000

  3 $150,000

  4 $150,000

  5 $150,000

  6 $150,000

  7 $150,000

  8 $150,000

  • ·Gross annual household income cap disclosed directly in the primary-source PDF T&Cs, flat regardless of household size -- not FPL-based, unlike every LEO program. Most precise, most citable eligibility figure across the entire reopen pass.
  • !Prescribed by a licensed eye-care professional who certifies medical appropriateness.
  • !Resident of the 50 states, DC, or Puerto Rico, 18+.
  • !No billing of any party for free product; free-product value cannot count toward insurance out-of-pocket accumulator calculations.

  You have Medicare Part B and it covers IZERVAY, but you can't afford the cost-sharing

  Household size Annual income limit

  1 $150,000

  2 $150,000

  3 $150,000

  4 $150,000

  5 $150,000

  6 $150,000

  7 $150,000

  8 $150,000

  • ·Same household income cap as the uninsured track.
  • !Affordability of cost-sharing determined by the program administrator.
  • !The only one of the 7 Astellas brands with an explicit Medicare-inclusive eligibility track for the PAP itself (not just a referral-to-call) -- genuinely Medicare-covered-but-still-assisted, structurally different from every other program in this reopen.
  • !Federal-program beneficiaries who qualify are enrolled for the entire calendar year and are not subject to the same mid-period reassessment language as uninsured/commercial patients -- a notable asymmetry in the source document.

  Program website

1. 1

   Confirm the program

   Check its current medication list, benefit and eligibility requirements.

2. 2

   Gather the required documents

   Use the current application to identify income and insurance documents the program accepts.

3. 3

   Coordinate with your prescriber

   Ask whether the program needs a prescription, clinical information or signature.

4. 4

   Submit and follow up

   Confirm receipt, ask about the decision and keep any approval or renewal dates.

Common questions

• Is assistance confirmed for IZERVAY?

  A documented program may help with IZERVAY. Eligibility depends on the program’s current rules; the program makes the final decision.

• Does income alone establish eligibility?

  No. Medication coverage, insurance and other program requirements may also matter. The program makes the final decision.

• Do I have to pay a company to apply?

  Follow the official program’s application instructions. Paid paperwork services are optional and do not guarantee approval.

• How long does approval last?

  Approval and renewal periods vary by program. Check the current terms and your approval notice.

Related medications

• Baxfendybaxfendy
• VOYXACTvoyxact
• ABRILADAadalimumab-afzb
• Adbrytralokinumab-ldrm
• ADCETRISbrentuximab-vedotin
• Adempasriociguat