Insurance Navigation & Financial Help 

We do not want concerns about cost or insurance coverage to come between you and your medication. Our team of Patient Support Specialists are here to provide information about financial assistance options that may be available to you, as well as explain your insurance coverage, and help determine if GOMEKLI® (mirdametinib) is covered.

Commercial Copay Program

If you have commercial health insurance and are eligible, you may pay as little as a $0 copay with the Commercial Copay Program.*

Reimbursement for Eligible Treatment- Related Costs

SpringWorks CareConnections may also help with eligible out-of-pocket costs for certain treatment-related tests, examinations, and/or specialty visits during treatment with GOMEKLI.*

*Terms and conditions apply. Copay program for GOMEKLI and reimbursement for eligible treatment-related costs are subject to annual benefit maximums. To receive the reimbursement of eligible treatment-related expenses, an Explanation of Benefits (EOB) form must be submitted, along with copies of receipts for any payments made in full or your healthcare provider may submit an invoice for services rendered. Full terms and conditions provided during enrollment process and are available upon request by contacting SpringWorks CareConnections at 844-CARES-55 (844-227-3755).

Patient Assistance Program (PAP)

If you are uninsured, lack coverage for GOMEKLI, or are experiencing financial hardship and are eligible, the Patient Assistance Program may help you obtain GOMEKLI at no cost.†

†Terms and conditions apply. PAP eligibility criteria and annual household income limits apply. Full terms and conditions provided during enrollment process and are available upon request by contacting SpringWorks CareConnections at 844-CARES-55 (844-227-3755).

Temporary Free Medication Programs for Eligible Patients

These programs may help if insurance coverage is delayed or you experience a gap in insurance coverage:

QUICK START PROGRAM

Available to eligible commercially insured patients and may help you or your loved one start on GOMEKLI at no cost for a limited period of time if your insurance company is delayed in making a coverage decision.‡

BRIDGE PROGRAM

Available to eligible commercially or government-insured patients and may provide you or your loved one with GOMEKLI at no cost for a limited period of time if you experience an interruption or gap in coverage.‡

If you are waiting to see if your insurance will cover GOMEKLI, talk to your doctor, or call one of our Patient Support Specialists to learn more about the Quick Start Program.

If you are currently on GOMEKLI and your insurance has changed, talk to your doctor, or call one of our Patient Support Specialists to learn more about the Bridge Program.

‡Terms and conditions apply. Full terms and conditions provided during enrollment process and are available upon request by contacting SpringWorks CareConnections at 844-CARES-55 (844-227-3755).

Independent Patient Assistance Foundations

Financial assistance may be available through independent foundations that are not controlled by or otherwise affiliated with SpringWorks CareConnections. These foundations may be able to assist with, for example, copays, premiums, patient education, and social services.

Explore additional foundations that may be able to provide you with financial assistance

This link is created and customized for SpringWorks Therapeutics ("SpringWorks") by Real Endpoints, LLC ("RealEndpoints"). RealEndpoints is an independent third-party service provider. SpringWorks does not control the operation of RealEndpoints, the foundations included in this link, or any foundation's eligibility criteria, funding decisions, or operations. SpringWorks is providing a link to these foundations to help patients find more information about potential assistance, but inclusion on this list does not represent an endorsement or a recommendation from SpringWorks for any group or organization. SpringWorks cannot guarantee assistance will be provided. Details and eligibility requirements can be found directly on the individual foundation websites.

Understanding Your Coverage

Whether you have commercial or government insurance, our Navigating Health Insurance Brochure is available to help you understand how insurance coverage works.

Learn more about available support through SpringWorks CareConnections in the Patient Overview Brochure.

If you have been prescribed GOMEKLI, ask your doctor to help you fill out the patient form and enroll in the SpringWorks CareConnections Patient Support Program so you can have access to support

Have Questions?

Call SpringWorks
CareConnections today

844-CARES-55
(844-227-3755)

Monday-Friday
8 AM-8 PM ET