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GOMEKLI™ (mirdametinib)
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Financial Assistance & Insurance Navigation

Financial support options may be available to your eligible patients through SpringWorks CareConnections. We also provide resources and assistance to support timely access to GOMEKLI™ (mirdametinib).

Your commercially insured patients can visit gomeklicopay.com, click on the “Enroll in Copay Program” button under the “Insurance Navigation & Financial Help” tab to review information about the program, and begin online enrollment.

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Eligible patients with commercial insurance may pay as little as a $0 copay per 21-day supply of GOMEKLI.*

Reimbursement for Eligible Treatment- Related Costs

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

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Patient Assistance Program (PAP)

Patients who are uninsured, underinsured, or lack coverage for GOMEKLI may be able to receive medication at no cost.†

Note: Self-enrollment in the Commercial Copay Program is only available for copay assistance for GOMEKLI. To qualify for reimbursement for eligible treatment-related costs, a patient must be enrolled in the full SpringWorks CareConnections program.

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

Independent Patient Assistance Foundations

Financial assistance may be available through independent foundations that are not controlled by or otherwise affiliated with SpringWorks Therapeutics. 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 help your patients with financial assistance

Find foundations

This link is created by Real Endpoints. Real Endpoints is independent of SpringWorks Therapeutics. SpringWorks Therapeutics 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. The organizations listed are independent of SpringWorks and SpringWorks does not influence or control the operations of independent patient assistance foundations. SpringWorks cannot guarantee assistance will be provided. Details and eligibility requirements can be found directly on the individual foundation websites.

To find out more about how your patients may save on the cost of GOMEKLI, call us at 844‑CARES‑55 (844‑227‑3755), Monday-Friday 8 AM-10 PM ET.

Insurance Navigation

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Coverage Support

We’ll provide education on your patients’ insurance coverage and plan requirements.
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Benefits investigation

Obtain benefits investigation results promptly to determine patients’ coverage and out-of-pocket costs for GOMEKLI™ (mirdametinib), as well as certain treatment-related costs that may be incurred during treatment with GOMEKLI.

If you have questions about your patients’ insurance coverage for GOMEKLI, call us today at 844-CARES-55 (844-227-3755), Monday-Friday 8 AM-10 PM ET or Connect With a FAM.

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Prior Authorization (PA) and Appeals Support

Have questions about PA processes or denials? Our Nurse Advocates can help.
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Our Nurse Advocates can:

  • Help navigate the PA process promptly and accurately
  • Provide information on the appeals process if coverage or a PA is denied

For sample letters and additional resources for you and your office staff to help your patients get started and stay on track with GOMEKLI, visit our Resources & Forms, page.

Field Access Managers (FAMs)

FAMs are available to help answer questions about process and payor requirements.

Temporary free medication programs for your eligible patients experiencing coverage delays or interruptions:

QUICK START PROGRAM

Eligible commercially insured patients who experience a qualified delay in their insurance coverage can get started on GOMEKLI at no cost for a limited period of time.‡

BRIDGE PROGRAM

Eligible patients currently on GOMEKLI who experience a qualified lapse in their insurance coverage may qualify to receive GOMEKLI at no cost for a limited period of time.‡
‡ 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).
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Have questions?

Call SpringWorks
CareConnections today

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

Monday-Friday 8 AM-10 PM ET
Phone

Have questions?

Call SpringWorks CareConnections today

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

Monday-Friday
8 AM-10 PM ET

Fam

Field Acccess
Manager (FAM) Support

For questions about patient access to GOMEKLI, click to connect with a FAM
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© 2025 SpringWorks Therapeutics, Inc. All rights reserved. C_GOM_US_0083  02/25

OGSIVEO is a registered trademark of SpringWorks Therapeutics, Inc. GOMEKLI and SpringWorks CareConnections are trademarks of SpringWorks Therapeutics, Inc. All other trademarks are the property of their respective owners.

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