Does New York Medicaid
Cover Keytruda?
Keytruda (Pembrolizumab) coverage, costs, and how to get it in New York.
Coverage Status
Keytruda coverage details for New York residents.
Biologics require prior authorization and often step therapy (trying cheaper alternatives first).
How to Get Keytruda Covered
Steps to get Keytruda covered by your insurance in New York.
Talk to your doctor
Ask your doctor to prescribe Keytruda and confirm it's appropriate for your condition.
Submit prior authorization
Your doctor's office will submit a prior authorization to New York Medicaid. This typically takes 3-5 business days.
Check patient assistance
If coverage is denied, check Merck's patient assistance program for free or reduced-cost options.
Appeal if needed
You can appeal a coverage denial through New York Medicaid. Your doctor can provide supporting documentation.
Need help affording Keytruda?
Answer 9 questions. See every program you're eligible for. Free.
Keytruda Side Effects
Common and serious side effects to discuss with your doctor.
⚡ Common Side Effects
- Fatiguecommon
- Nauseacommon
- Decreased appetitecommon
⚠️ Serious Side Effects
- Immune-mediated reactionsuncommon
- Pneumonitisuncommon
Seek immediate medical attention if you experience any serious side effects.
Frequently Asked Questions
Does New York Medicaid cover Keytruda?
New York Medicaid covered (prior auth) Keytruda. Prior authorization is required. Biologics require prior authorization and often step therapy (trying cheaper alternatives first).
How much does Keytruda cost in New York?
Without insurance, Keytruda costs approximately $17,000/month. With New York Medicaid, your copay may be $0-$0.
How do I get Keytruda covered in New York?
Contact your New York Medicaid office or insurance provider to check coverage. Your doctor will need to submit a prior authorization request.
Get Your Free Benefits Report
Enter your email to receive a personalized report of every benefit program you may qualify for.
No spam. Unsubscribe anytime.