Blincyto (blinatumomab)
Patient Assistance Program Guide — Amgen Safety Net Foundation
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Uninsured, underinsured, or Medicare patients with no coverage for the prescribed drug.
Residency
U.S. resident or resident of U.S. territories with a valid address
Income Limits (500% FPL)
Amgen Safety Net Foundation generally uses 500% FPL for oncology products like Blincyto.
Based on 2025 HHS Federal Poverty Level guidelines.
# Blincyto (Blinatumomab) Patient Assistance Guide
Amgen Safety Net Foundation — Powered by RX Advantages
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Who Qualifies for the Amgen Safety Net Foundation?
If you need Blincyto (blinatumomab) and cannot afford it, the Amgen Safety Net Foundation may be able to provide it to you at no cost. This program is designed specifically for patients who are uninsured, underinsured, or on Medicare with no coverage for this drug. To start, your income must generally fall at or below $75,300 per year for a single-person household. Larger households may qualify at higher income limits. You must also have a valid prescription from a licensed physician. If you meet these basic criteria, you may qualify to receive Blincyto free of charge through this program. RX Advantages can help guide you through the process, though eligibility is determined solely by the Amgen Safety Net Foundation.
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About Blincyto (Blinatumomab)
Blincyto (blinatumomab) is a prescription medicine made by Amgen. It is used to treat acute lymphoblastic leukemia (ALL), a type of blood cancer. Blincyto belongs to a class of drugs called bispecific CD19-directed CD3 T-cell engagers, or BiTE antibodies. This means it works by targeting specific proteins on cancer cells and immune cells. Because of its complex manufacturing process and specialized use, Blincyto carries a very high list price — often well into six figures per treatment course — making it financially out of reach for many patients without insurance or assistance. That is exactly why programs like the Amgen Safety Net Foundation exist.
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Income Eligibility: Full Breakdown
The Amgen Safety Net Foundation uses approximately 500% of the Federal Poverty Level (FPL) as its income guideline for Blincyto. Below are the maximum annual income limits by household size:
| Household Size | Max Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
Your household income is typically verified using your prior year federal tax return or three months of recent pay stubs. If you are self-employed, a profit and loss statement may also be accepted. If your income falls slightly above these limits, you are still encouraged to apply. The foundation may consider special circumstances on a case-by-case basis. Household size can also affect your eligibility — adding dependents to your application may raise the income ceiling that applies to you. When in doubt, apply and let the program make the final determination.
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Insurance Requirements Explained
Your insurance situation plays an important role in whether you qualify. Here is how different scenarios are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for free Blincyto through the Amgen Safety Net Foundation:
1. Gather your documents. You will need a completed application form (with your physician's signature), proof of income (such as your most recent tax return, W-2, or three months of pay stubs), and a valid prescription for Blincyto.
2. Choose your application method. You can apply online, by phone, or by fax.
- Online: Visit https://www.amgensafetynetfoundation.com/ to start your application electronically.
- Phone: Call (888) 762-6436 to speak with a program representative who can walk you through the process.
- Fax: Submit your completed documents to (866) 549-7239.
3. Complete the application form. Make sure your prescribing physician signs the form. Incomplete applications are one of the most common reasons for delays.
4. Submit your income documentation. Attach your tax return, W-2, or pay stubs along with your application.
5. Wait for a decision. The program typically processes applications within 1 to 2 business days.
6. Receive confirmation. The foundation will notify you and your prescriber of the decision.
7. Medication is shipped to your prescriber. Blincyto will be delivered directly to your prescribing physician's office or clinic, not to your home.
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What to Expect: Timeline and Delivery
Once your application is submitted, most decisions are made within 1 to 2 business days. You or your prescriber's office will receive confirmation of approval. Blincyto is shipped directly to your prescriber — not to your home — so coordinate with your care team to arrange administration. You do not need to pick up the medication yourself. Approval is valid for one year, after which you will need to reauthorize your enrollment to continue receiving the medication. Your care team or a program representative will typically prompt you when it is time to reauthorize. Keep your income documents updated so the renewal process goes smoothly.
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Alternatives If You Don't Qualify
If you do not qualify for the Amgen Safety Net Foundation, there are other options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilars for Blincyto, so switching to a lower-cost equivalent is not an option at this time.
2. Manufacturer savings card (for insured patients): If you have commercial insurance, Amgen offers a savings card that may reduce your out-of-pocket costs. You can learn more and enroll at https://www.blincyto.com/financial-support.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer programs that help residents pay for high-cost medications. Eligibility and benefits vary by state. Contact your state's department of health or aging services to find out what is available where you live.
4. NeedyMeds.org: This free online database at https://www.needymeds.org lists hundreds of patient assistance programs, copay cards, and disease-specific funds that may apply to your situation.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Amgen. Program terms may change — verify current requirements at [https://www.blincyto.com/support](https://www.blincyto.com/support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Amgen offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Most applications are reviewed within 1 to 2 business days. Make sure your application is complete and includes your physician's signature and proof of income to avoid any delays.
No. If your application is approved, Blincyto is shipped directly to your prescriber's office or clinic. You will need to coordinate with your care team for administration.
Yes. The Amgen Safety Net Foundation does accept Medicare patients who have no coverage for Blincyto under their current plan. You will still need to meet the income requirements.
You will need to reauthorize your enrollment annually to continue receiving Blincyto through the program. Be prepared to provide updated income documentation at that time. Your prescriber's office or a program representative can help you with the renewal.
You are still encouraged to apply even if your income is close to the limit. The foundation may consider individual circumstances on a case-by-case basis. You can also explore the manufacturer savings card at https://www.blincyto.com/financial-support if you have commercial insurance.
Ready to Apply for Blincyto Assistance?
RX Advantages handles the entire Amgen Safety Net Foundation application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month