With commercial insurance: LEQEMBI Copay Assistance Program — as little as $0, up to $10,000 per calendar year. With Medicare: the Leqembi card can’t be used. TotalAssist (Patient Advocate Foundation) – Alzheimer's disease health equity is open as of September 28, 2026.
See what this patient owes after assistance →
3 assistance programs for Leqembi patients · 3 open today
Manufacturer savings, charitable foundations, and patient assistance programs.
Select the patient's insurance and diagnosis to see which programs may apply.
Current status · Award amounts · Eligibility · Direct application links April 9, 2026
Checked September 28, 2026 · Source ↗
Checked September 28, 2026 · Source ↗
Leqembi’s card can’t be used with Medicare. These funds may help. They open and close with donations, so call before telling a Leqembi patient no.
Checked September 28, 2026 · Source ↗
Leqembi · MCI due to Alzheimer's · Commercial insurance
Eligible patients may pay $0
Example · Leqembi · 800 mg · 800 units + 200 JW · commercial plan · deductible met · 20% coinsurance · allowed amounts at the Medicare reference rate
| Without assistance | With LEQEMBI Copay Assistance Program (via LEQEMBI Companion; formerly Eisai Patient Support) | |
|---|---|---|
| Drug responsibility | $272.20 | $0.00 |
| Administration (96365) | $13.43 | $13.43 |
| Patient owes | $285.63 | $13.43 |
Estimated patient savings: $272.20
CareCost calculates the drug and administration lines using the patient’s payer rate and benefits; this example uses the Medicare rate as a reference.
Also available if this patient’s coverage falls short
Free LEQEMBI Patient Assistance Program (free drug), part of LEQEMBI Companion for eligible patients
Change the diagnosis to see only the programs that apply to your patient.
Leqembi shares its class with Kisunla (J0175, Eli Lilly), billed under its own code with its own manufacturer programs. The programs above apply to Leqembi only. If the payer requires the other product instead, use that manufacturer’s program below.
Each card is the program record on file, verified on the date it shows. None of them pays the administration line.
Kisunla Savings Card Program
Lilly Cares Foundation Patient Assistance (Free Drug)
| Task | ✓ |
|---|---|
| Find programs for the diagnosis | ✓ |
| See whether each program is open | ✓ |
| See maximum award | ✓ |
| Review key eligibility requirements | ✓ |
| Open the official application | ✓ |
| Calculate cost before assistance | ✓ |
| Apply the program benefit | ✓ |
| Calculate what the patient still owes | ✓ |
Commercial insurance — LEQEMBI Copay Assistance brings the patient's cost on the drug charge to $0 per infusion, up to $10,000 per calendar year. The benefit applies to the Leqembi drug line only; it does not cover the 96365 administration line or other office-visit fees, and it excludes Medicare, Medicaid and other government insurance. View current program ↑
Medicare — Medicare patients cannot use LEQEMBI Copay Assistance: federal law bars manufacturer copay assistance on Medicare, Medicaid and other government plans. A Medigap plan can pick up the Part B coinsurance instead — see the cost page for the Plan K and Plan L figures. A patient with both Medicare and Medicaid pays through Medicaid dual eligibility rather than manufacturer assistance. The LEQEMBI Patient Assistance Program (free drug), part of LEQEMBI Companion stays open to uninsured patients, patients whose coverage falls short and some Medicare patients who meet the program's rules regardless of age. Coverage itself runs under NCD 200.3, coverage with evidence development, which requires registry enrollment; that is a coverage condition, not a source of payment assistance.
No foundation fund is on file for Leqembi. The two Eisai programs above are the only Leqembi assistance CareCost has verified today.
How the lines work — An 800 mg dose (10 mg/kg at 80 kg) draws two 500 mg vials, 1,000 mg total. The 800 mg administered is billed as the drug line, J0174 × 800 units; the 200 mg discarded from the second vial is billed separately on a JW line, J0174-JW × 200 units; the infusion itself is one line, 96365. Each line carries its own patient share under commercial coinsurance, and neither Eisai program pays the 96365 line or the coinsurance on the JW line.
Yes. LEQEMBI Copay Assistance brings the drug cost to $0 per infusion for commercially insured patients, up to $10,000 per calendar year. Apply on Eisai Patient Support ↗ Calculate cost with the program →
No. The program covers the Leqembi drug charge only. The administration line (96365) and any office-visit fee are the patient's responsibility regardless of enrollment. View current program ↑
uninsured patients, patients whose coverage falls short and some Medicare patients who meet the program's rules of any age can use the LEQEMBI Patient Assistance Program (free drug), part of LEQEMBI Companion. Medicare patients can pair a Medigap plan or Medicaid dual eligibility to cover the remaining coinsurance; federal law bars manufacturer copay assistance itself. Medicare pays for Leqembi under NCD 200.3, coverage with evidence development, once the prescriber enrolls the patient in a CMS-approved registry. Check current Medicare options ↑
Patients with income at or below 300% of the federal poverty level and no insurance coverage can apply through Eisai Patient Support; approved patients have the drug shipped directly to the provider, with no insurance billed for the drug charge. Apply on Eisai Patient Support ↗
None is on file today. The two Eisai programs above are the only Leqembi assistance CareCost has verified; check back, since foundation funds open and close as they receive and exhaust funding. Check today's status ↑
A denial doesn't change the assistance programs available; a commercially insured patient can still use LEQEMBI Copay Assistance once coverage is resolved, and an uninsured patient can apply to the Companion Patient Assistance Program regardless of the payer decision. Review the plan's prior authorization requirements on the coverage page.
Data current: programs verified Apr 9, 2026
LEQEMBI Copay Assistance and LEQEMBI Patient Assistance Program (free drug), part of LEQEMBI Companion (Eisai Patient Support) · Kisunla Savings Card Program and Lilly Cares Foundation Patient Assistance (Eli Lilly), shown above for the other product in this drug's class. Every program links directly to its official source or application page.
Last program check: .
Reviewed September 20, 2026 by Erin Rose, CareCost Estimate founder. Methodology →
CareCost