Esbriet Co-pay Program (Legacy Patient Program)
Legacy Pharma Inc. SEZC · Esbriet
Patient pays: as little as $5 per 30-day supply
commercial insurance
How to apply: online or phone
Every Esbriet assistance program you may qualify for - manufacturer and foundation programs, not a discount card. About a minute, no login.
Every Esbriet program linked to its official source, with the date we checked it - rules, income limits, and application links included.
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Esbriet (pirfenidone) is an antifibrotic (oral) made by Legacy Pharma Inc. SEZC (acquired from Genentech/Roche Feb 2025). It is commonly prescribed for: Idiopathic pulmonary fibrosis (IPF). Without financial assistance, Esbriet typically costs around $10,000 per month.
Esbriet offers more than one kind of program, and they have opposite rules:
We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide
This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.
Legacy Pharma Inc. SEZC · Esbriet
Patient pays: as little as $5 per 30-day supply
commercial insurance
How to apply: online or phone
Legacy Pharma Inc. SEZC · Esbriet
uninsured · underinsured
How to apply: online or phone
Your prescriber signs part of the form.
Yes. Legacy Pharma Inc. SEZC runs the Legacy Patient Program - Esbriet PAP, which provides Esbriet free of charge to eligible patients. The full rules and the official application link are in the program list above.
Medicare coverage for Esbriet depends on your own plan: depending on how it is given, a drug can fall under Part B (administered in a clinic) or Part D (filled at a pharmacy), and each plan decides what it covers. Your plan's documents or Medicare's plan finder are the only reliable check. Separate from coverage, none of the Esbriet assistance programs we track currently accept Medicare patients.
Yes - the Esbriet Co-pay Program (Legacy Patient Program) from Legacy Pharma Inc. SEZC. Eligible patients pay as little as $5 per 30-day supply. It works for patients with commercial (private) insurance. Patients on Medicare or Medicaid cannot use the card itself. If you searched for an Esbriet coupon, this manufacturer card is the official version of it.
Without insurance or assistance, Esbriet typically costs around $10,000 per month in the US. The Legacy Patient Program - Esbriet PAP above can bring that down substantially for eligible patients - use the calculator to check your situation.
The official application form for the Legacy Patient Program - Esbriet PAP is on esbrietcopay.com - the application links on this page go straight to the program's own form. Some programs call it an enrollment form; it is the same document. Applying is always free; never pay a third-party service to file a patient assistance form for you.
None of the Esbriet programs we track currently accept Medicare or Medicaid. If that changes, we will update this page.
Manufacturers like Legacy Pharma Inc. SEZC (acquired from Genentech/Roche Feb 2025) use "patient support program" as an umbrella term for nurse lines, insurance navigation, and financial help. The financial help is what we track here - for Esbriet that is the Legacy Patient Program - Esbriet PAP. The support phone line is listed on the official program site linked above.