![]() ![]() Such limitations, please contact AVSOLA Support at 1-86. If you believe your commercial insurance plan may have Other needs-based assistance provided by Amgen. With these plan limitations are not eligible for the AVSOLA Co-Pay Card but may be eligible for Payments to satisfy the patient's co-payment, deductible, or co-insurance for AVSOLA. The AVSOLA ® Co-Pay Card does not cover out-of-pocket costs for any patient whose selectedĬoverage option under their commercial insurance plan does not apply AVSOLA Co-Pay Card Where the patient has no insurance coverage for AVSOLA or where the patient hasĬommercial or private insurance but Amgen in its sole discretion determines the patient isĮffectively uninsured because such coverage does not provide a material level of financialĪssistance for the cost of an AVSOLA prescription. Valid for cash-paying patients or where prohibited by law. Part by Medicare, Medicaid, or any other federal or state healthcare program. This offer is not valid for patients whose AVSOLA prescription is paid for in whole or in Related to office visits or administration of AVSOLA. The AVSOLA Co-Pay Card does not cover any other costs This program helps eligible patients cover out-of-pocket medication costs related toĪVSOLA, up to program limits. *Eligibility Criteria: Subject to program limitations and terms and conditions, theĪVSOLA ® Co-Pay Card is open to patients who have been prescribed AVSOLA and who haveĬommercial or private insurance, including plans available through state and federal healthcareĮxchanges. Reimbursing the program for all amounts paid out if the EOB for the date of service is not Required Explanation of Benefits (EOB) form by the healthcare provider's office withinġ80 days of the use of the AVSOLA Co-Pay Card. Ongoing activation of the AVSOLA Co-Pay Card is contingent on the submission of the.Patients are responsible for all amounts that exceed this limit. Have reached either the Maximum Program Benefit or the Patient Total Program Benefit. ![]() Remaining eligible out-of-pocket costs on behalf of the patient until the Amgen payments AVSOLA patients pay $5 out-of-pocket for each treatment, and Amgen will pay the.Your reaching the Maximum Program Benefit or your Patient Total Program BenefitĪmount by calling 1-86. Your AVSOLA Support Representative to help you understand eligibility for theĪVSOLA Co-Pay Card, whether your particular insurance coverage is likely to result in Total Program Benefit is determined by the type of plan coverage you have. Whether you are eligible to receive the Maximum Program Benefit or Patient Receive AVSOLA Co-Pay Card benefits, Amgen has the right to reduce or eliminate thoseīenefits. If a patient'sĬommercial insurance plan imposes different or additional requirements on patients who The Maximum Program Benefit or Patient Total Program Benefit. The AVSOLA Co-Pay Card provides support up to The AVSOLA Co-Pay Card does not cover any other costs related to office Out-of-pocket costs include co-payment, co-insurance, and deductible out-ofpocketĬosts. The AVSOLA Co-Pay Card may help lower your AVSOLA out-of-pocket medicationĬosts. It is not valid for cash paying patients or where prohibited by law. The program is not valid for patients whose AVSOLA prescription is paidįor in whole or in part by Medicare, Medicaid, or any other federal or state healthcare The AVSOLA Co-Pay Card is open to patients with commercial insurance, regardless ofįinancial need.The following summary is not a substitute for reviewing the Terms and TYSABRI ActiveAccess™ Financial Program – ĪstraZeneca Patient Assistance Programs – Īzasan (Azathioprine from Salix Pharmaceuticals, Inc.It is important that every patient read and understand the full AVSOLA ® Co-Pay Card TermsĪnd Conditions. Janssen Prescription Assistance (Stelara) – Janssen Prescription Assistance (Simponi) – The Merck Access Program for Renflexis (infliximab-abda) – Renflexis (Infliximab-abda – biosimilar of infliximab) Janssen Prescription Assistance (Remicade) – Pfizer enCompass Program for Inflectra (infliximab-dyyb) – Inflectra (Infliximab-dyyb – biosimilar of infliximab) Here are some patient assistance programs for commonly used medications, offered by the pharmaceutical companies that make them: Many Inflammatory Bowel Disease patients struggle to cover the costs of their medications. ![]()
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