Select which way you’d like to enroll in IncyteCARES:
I’d prefer to enroll through my Healthcare Professional
I’d prefer to enroll through my Healthcare Professional
Ask your Healthcare Professional to submit a program enrollment form for you.
You will be contacted by an IncyteCARES representative if any of your information is incomplete on the form.
I’d prefer to call IncyteCARES and speak to a representative to start my enrollment
I’d prefer to call IncyteCARES and speak to a representative to start my enrollment
Call IncyteCARES at 1-855-452-5234.
Representatives are available to enroll you Monday through Friday, 8 AM–8 PM ET. We’ll ask you for information about your insurance coverage and obtain your verbal authorization to participate in IncyteCARES.
We will contact your prescribing Healthcare Professional for information about your medical condition and your prescription to complete your enrollment form.
I’d prefer to download an IncyteCARES enrollment form to take to my Healthcare Professional
I’d prefer to download an IncyteCARES enrollment form to take to my Healthcare Professional
Fill out your personal information, including information about your insurance coverage.
You will also need to consent to participate in IncyteCARES by signing 2 sections, the HIPAA Authorization and Patient Opt-in for Ongoing Education and Support. This means you give permission for your Healthcare Professionals to share your personal medical information with us as part of the program and to be contacted by our support team.
If you need help with the form, you can call our representatives at the phone number in the form or take it with you to your Healthcare Professional’s office for assistance. They will need to supply information about your prescription and submit the form for you.
No matter how you enroll, IncyteCARES will be in touch to confirm if you’re eligible.
Once we validate the information you and your Healthcare Professional provide and confirm you’re eligible for IncyteCARES, we will immediately enroll you for support with Niktimvo and let you know by phone that you’ve been enrolled. You can then take advantage of the services and support for which you’re eligible.
On our welcome call with you, an IncyteCARES nurse representative can:
- Discuss your insurance coverage for Niktimvo
- Identify financial assistance options that may help you
- Review information about your medicine and more
- Let you know about the Welcome Kit you will receive
- Describe other types of available patient support
Patients who have been prescribed Niktimvo can enroll in IncyteCARES but may not be eligible to receive some of the services or support we offer.
Need Help?
Our IncyteCARES team is available
Monday through Friday, 8 AM–8 PM ET
Our IncyteCARES team is available
Monday through Friday,
8 AM–8 PM ET
Call us at 1-855-452-5234