SERVIER PHARMACEUTICALS, INC.
Servier One Patient Support Services for Tibsovo
Information last checked September 24, 2026
Contact info
- Phone
- 1-844-409-1141
- Fax
- 1-844-409-1143
Eligibility
- Patient must be uninsured or underinsured.
- Patients must meet specified financial and eligibility requirements to qualify for assistance.
- Patients with Medicare Part D may be eligible.
- This program also provides copay assistance.
- Income limit, single
- 600% of the federal poverty level
- Income limit, couple
- 600% of the federal poverty level
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Yes
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- NPI number
- Both DEA and state license numbers
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Not published
Getting the medication
- Patient receives
- Medication
- Shipped to
- Patient
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- New application every 12 months
Medications covered
- Tibsovo (ivosidenib tablet)