How to Save Money on Ogsiveo in 2026: Coupons, Discounts, and Patient Assistance

If you've been prescribed Ogsiveo (nirogacestat), one of the first questions that comes up is: what is this actually going to cost me? The short answer: at list price, a lot — approximately $25,000–$30,000 per month. But for the vast majority of patients, that's not what they actually pay.

SpringWorks Therapeutics has invested heavily in making Ogsiveo accessible to patients regardless of their financial situation. Multiple programs are available that can reduce your out-of-pocket cost to $0 — including if you have no insurance at all. Here's everything you need to know.

What Does Ogsiveo Actually Cost?

The list price for Ogsiveo is approximately $25,000–$30,000 per month for the recommended dose of 150 mg twice daily. This puts it in the category of high-cost specialty oncology drugs. For reference, Drugs.com lists 100 mg Ogsiveo tablets at approximately $7,146 for 14 tablets — which, at full dose, translates to a very substantial monthly cost.

However, this list price almost never reflects what patients actually pay. Here's why:

Option 1: SpringWorks CareConnections Commercial Copay Program ($0 Copay)

If you have commercial health insurance (not Medicare or Medicaid), you may be eligible for the SpringWorks CareConnections Commercial Copay Program. Key facts:

You may pay as little as $0 per prescription

No income requirements to participate

Subject to annual benefit maximum (terms and conditions apply)

Enroll online at springworkstxcares.com or by calling 1-844-CARES-55

This is the most important program for commercially insured patients. Enroll as soon as your prescription is written — don't wait until your first fill.

Option 2: Patient Assistance Program (Free Medication for Eligible Patients)

If you are uninsured, underinsured, or your insurance does not cover Ogsiveo, the SpringWorks CareConnections Patient Assistance Program (PAP) may provide your medication at no charge. Key details:

Designed for patients experiencing financial hardship

Income-based eligibility criteria apply

Must be enrolled through your doctor's office or through CareConnections

Your oncologist will need to submit documentation along with your application

Option 3: Bridge Programs (Quick Start and Gap Coverage)

SpringWorks offers two bridge programs to ensure there's no gap in your medication supply during insurance processing delays:

Quick Start Program: For commercially insured patients whose insurance coverage decision is delayed. Provides an initial 30-day supply plus one refill at no cost while the PA is being processed.

Gap Coverage Program: For patients experiencing a lapse in insurance coverage (e.g., job change, waiting for new plan to activate). Provides an initial 30-day supply plus up to two refills.

Option 4: Independent Charitable Foundations

In addition to SpringWorks programs, independent charitable foundations may offer copay assistance, premium support, and other financial aid. These organizations are not affiliated with SpringWorks and may have separate eligibility criteria. Your CareConnections nurse advocate can help identify which foundations currently have open enrollment for desmoid tumor patients.

What About Medicare Patients?

The commercial copay card cannot be used by Medicare or Medicaid beneficiaries. However, Medicare patients may be eligible for:

The Patient Assistance Program (income-based)

Independent foundation assistance (e.g., Patient Advocate Foundation, HealthWell Foundation)

Medicare Extra Help (Low Income Subsidy) for Medicare Part D prescription costs

Insurance Coverage: What to Expect

Most commercial insurance plans and Medicare Part D cover Ogsiveo, but almost all require prior authorization. Once your PA is approved, your plan-specific cost sharing kicks in. With the commercial copay program active, many patients pay $0 per prescription. Without the copay program (e.g., Medicare patients), cost sharing depends on your plan's specialty tier — which can range from $0–$100 on some plans to several thousand dollars on others.

Your Action Plan to Reduce Ogsiveo Costs

Call SpringWorks CareConnections at 1-844-CARES-55 and ask about all available assistance programs.

If commercially insured, enroll in the $0 copay program immediately.

If uninsured or underinsured, apply for the Patient Assistance Program with your oncologist's help.

Ask your nurse advocate about independent foundations that may provide additional support.

If you're waiting on insurance, ask about Quick Start bridge supply so you don't miss doses.

Once your cost is under control, the next priority is finding your pharmacy. See our guide on how to find Ogsiveo in stock near you, or let medfinder call pharmacies on your behalf.