Based on program guidelines, copay assistance may not be available to all patients. To determine eligibility, please refer to the program's website.1
Please review the criteria below for general requirements to qualify for manufacturer copay assistance:
- Have a prescription for a medication approved by the FDA for a specific use.
- Must be 18 years or older, or have a caregiver or authorized person handling copay assistance.
- In most cases, patients are required to have commercial (private or non-government insurance), such as those offered through state and federal health exchanges.2
- Cannot be enrolled in government-funded health insurance programs like Medicare or Medicaid, VA, DoD, TRICARE as commercial insurance does not include these programs.3
- Must reside and receive treatment in the United States or U.S. Territories.4
Types of copay assistance
How to get started
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Medication Name Medication Name |
Program Name Program Name |
Program Type Program Type |
Program Phone Program Phone |
Website Website |
---|---|---|---|---|
Medication Name ACTHAR GEL |
Program Name HEALTHWELL FOUNDATION |
Program Type FOUNDATION |
Program Phone 800-675-8416 |
Website https://www.healthwellfoundation.org |
Medication Name ACTHAR GEL |
Program Name PATIENT ACCESS NETWORK FOUNDATION |
Program Type FOUNDATION |
Program Phone 866-316-7263 |
Website https://www.panfoundation.org |
Medication Name ACTHAR GEL |
Program Name PATIENT ADVOCATE FOUNDATION |
Program Type FOUNDATION |
Program Phone 866-512-3861 |
Website https://www.patientadvocate.org/ |
Medication Name ACTIMMUNE |
Program Name ACTIMMUNE COPAY ASSIST |
Program Type MANUFACTURER |
Program Phone 877-305-7704 |
Website https://www.actimmune.com/chronic-granulomatous-disease/ongoing-support/your-support-team/ |
Medication Name ACTIMMUNE |
Program Name GOOD DAYS FKA CHRONIC DISEASE FOUNDATION |
Program Type FOUNDATION |
Program Phone 877-968-7233 |
Website https://mygooddays.org |
Medication Name ACTIMMUNE |
Program Name ASSISTRX:THE ASSISTANCE FUND |
Program Type MANUFACTURER |
Program Phone 855-845-3663 |
|
Medication Name ADALIMUMAB-ADAZ |
Program Name HYRIMOZ-ADALIMUMAB ADAZ CPA |
Program Type MANUFACTURER |
Program Phone 833-497-4669 |
Website https://hyrimoz.com/#support |
Medication Name ADALIMUMAB-ADBM |
Program Name BOEHRINGER ADALIMUMAB-ADBM CPA-OPUS |
Program Type MANUFACTURER |
Program Phone 833-295-8396 |
Website https://patient.boehringer-ingelheim.com/us/products/cyltezo/saving-on-cyltezo |
Medication Name ADALIMUMAB-ADBM |
Program Name QUALLENT ADALIMUMAB CPA-CAPITALRX |
Program Type MANUFACTURER |
Program Phone 800-987-7839 |
|
Medication Name ADALIMUMAB-RYVK |
Program Name QUALLENT ADALIMUMAB CPA-CAPITALRX |
Program Type MANUFACTURER |
Program Phone 800-987-7839 |
- 1Copay assistance estimates are subject to change. Please contact the copay assistance provider directly to confirm estimates provided and the balance of assistance remaining.
- 2Commercial insurance includes plans received from your employer or plans from the Health Insurance Marketplace.
- 3There are some exceptions.
- 4Please note that patients residing in California (CA) or Massachusetts (MA) and using a branded medication for which a generic alternative is available cannot receive aid for the same expenses covered by the program.