Comprehensive support for you, your patients, and your team
My Compass Support is a dedicated program that serves patients who are prescribed LISRAYA as well as their healthcare providers.
About My Compass Support
We will work with you and your team to help your patients throughout their treatment journey.
Patient Access Liaison (PAL)
A dedicated single point of contact for your patients and your team on all topics related to LISRAYA access.
Benefits and authorization
Benefits investigation, detailed authorization requirements, and submission support.
Bridge Program
Helping your patients avoid delays in treatment if an authorization request is denied.
Cost assistance
Patients may be able to pay as little as $0* a month for LISRAYA.
Specialty pharmacy coordination
Ensuring that your patients receive their monthly shipments of LISRAYA seamlessly.
Committed to providing access and cost assistance for your patients
Copay assistance
Eligible commercially insured patients may pay as little as $0* through the My Compass Support Copay Savings Program.
The PAL can also help your Medicare/Medicaid patients identify organizations that may be able to provide cost assistance.
My Compass Support Bridge Program
We are committed to ensuring that any delays in coverage won’t impact your patient’s care. If a LISRAYA authorization for your patient is initially denied and an appeal is submitted, your patient may qualify to receive medication at no cost while their appeal is pending so that they can still begin treatment quickly.
*Terms & Conditions
The My Compass Support Copay Savings Program is available to eligible private or employer-insured patients only and is subject to the terms and conditions, including but not limited to the following:
- Not valid for patients whose prescriptions are reimbursed in whole or in part by any government funded program (including Medicare, Medicaid, VA, TRICARE, or similar programs)
- Patient must be prescribed LISRAYA™ (brepocitinib) for an FDA-approved indication
- Patient must be a resident of the United States
- Patient must have private insurance coverage and an out-of-pocket cost for LISRAYA
Additional restrictions apply. My Compass Support reserves the right to modify or discontinue the program at any time without notice.
This program is not insurance and is not intended to substitute for insurance.
Getting patients started with LISRAYA
Start your patients on LISRAYA by submitting a prescription and enrolling them in My Compass Support. Submit the enrollment using one of two convenient options.
Download the form, fill it out, then sign and fax the form to 1-844-341-0485 OR email it to mcs@priovant.com.
Fill out the form, sign, and submit online through Docusign.
Resources
Download information about LISRAYA and My Compass Support, and helpful tools for the reimbursement process.

Statement of medical necessity
A sample letter outlining the clinical rationale for a LISRAYA prior authorization or medical exception request.

Letter of appeal
A sample letter responding to a denied claim for LISRAYA.

Authorization checklist
A quick guide to what information to include in a LISRAYA authorization submission.

Patient brochure
A guide to help your patients learn more about LISRAYA.

My Compass Support brochure
An overview of our dedicated support program for LISRAYA patients and providers.