Resource Name | URL | Description | Tags |
---|---|---|---|
AMICAR ASSISTANCE – PAN FOUNDATION | https://www.panfoundation.org/get-help/apply-for-assistance/ | 866-316-7263 Patient Assistance Program is a needs-based program assists patients in accessing Amicar. Programs include copay assistance for patients with commercial insurance coverage and a need- based support program for those patients without commercial insurance. | Akron |
BAYER ACCESS SERVICES | https://copaysupport.bayer.com/ | 1-800-288-8374 Bayer Access Services is a helpline that processes any questions about insurance, co-pays and more. Multiple languages available. Available Monday-Friday 9:00AM-6:00PM ET | Bayer |
KOGENATE, KOVALTRY, JIVI $0 CO-PAY PROGRAM | https://explore.bayer.com/co-pay-and-support https://www.kovaltry-us.com/access-services-by-bayer https://www.jivi-us.com/copay-support/ | $0 CoPay Program for Kogenate, Kovaltry, and Jivi regardless of income Up to $12,000 per year Product Copay Program. You can re-enroll after 12 months. Assistance is awarded per patient. Multiple members of the same household can apply. Also includes out-of-pocket prescription costs, such as co-pays and co-insurance Call 1-647-245-5619 for the copay support line. | Bayer |
JIVI LAB MONITORING CO-PAY PROGRAM | https://www.jivi-us.com/PP_JIV_US_0587_1_Jivi_Lab_Monitoring_Co_Pay.pdf | Up to $250 in assistance per year toward out of pocket costs for laboratory monitoring of Jivi Must have private/commercial insurance. Only one offer per patient annually | Bayer |
BAYER LOYALTY PROGRAMS | https://explore.bayer.com/co-pay-and-support | 1-800-288-8374 Loyalty Programs allow patients to earn points that can be redeemed for Bayer products (Kogenate FS, Kovaltry, Jivi) in the event of a gap in insurance coverage or challenge with coverage. Patients with government insurance are not eligible. | Bayer |
FREE TRIAL PROGRAM FOR KOVALTRY OR JIVI | https://explore.bayer.com/co-pay-and-support | Any patients new to treatment, regardless of insurance, may be eligible for one free month of therapy. | Bayer |
MYACCESS PROGRAM CSL BEHRING | https://www.cslbehring.com/patients/support-and-assistance | 1-800-676-4266 Up to $12,000 per year for qualified CSL Behring Patients | CSL Behring |
CSL BEHRING PATIENT ASSISTANCE PROGRAM | https://www.cslbehring.com/patients/support-and-assistance | 1-844-PAP-CSLB (727-2752) To be eligible, patients must be underinsured or uninsured. When enrolled, must actively be seeking insurance. | CSL Behring |
KCENTRA HEALTH CARE PROVIDER HOTLINE | 1-855-4KCENTRA (452-3687) 24/7 support answering product questions and medical inquiries as well as assistance with reimbursement support and resources. | CSL Behring | |
HEMLIBRA CO-PAY PROGRAM | https://www.genentech-access.com/patient.html | 877-436-3683 Access Solutions can assist with benefit investigations and make referrals to other independent co-pay assistance foundations. Form can be submitted online, via text, fax, or mailed. | Genentech |
GENENTECH PATIENT FOUNDATION | https://www.gene.com/patients/patient-foundation | 866-422-2377 The Genentech Patient Foundation can provide free medicine to people without insurance coverage or who can't pay for their Genentech medicines (eligibility guidelines). Form can be submitted online, via text, fax, or mailed. | Genentech |
GRIFOLS’ FACTORS FOR HEALTH ASSISTANCE PROGRAM | https://www.alphanate.com/en/patients/support-and-resources/factors-for-health | 1-844-693-2286 The $0 Copay Assistance Program may cover out-of-pocket expenses not covered or partially covered by insurance. Patients receive a maximum benefit of $15,000 for eligible out-of-pocket costs in a 12-month period. Individual claims exceeding $2000 will be reviewed for network eligibility. Claims that are in network will be approved, but those out-of-network may be denied. Benefits investigation and support services to help patients coordinate with their insurer The Free Trial Program for eligible patients who are new to ALPHANATE Care Coordination to help patients gain access to and remain on ALPHANATE Prescription is covered up to the patient’s annual out of pocket (OOP) maximum. The 2022 OOP maximum limits under the Affordable Care Act are $8,700 (self-only coverage) and $17,400 (coverage for more than self only). | Grifols |
IXINITY SAVINGS PROGRAM | http://www.ixinity.com/support-savings/ixinity-savings-program | 1-855-494-6489 Up to $12,000 per year for those with commercial health insurance | Medexus |
IXINITY PATIENT ASSISTANCE PROGRAM | https://www.ixinity.com/support-savings/patient-assistance-program | 1-855-494-6489 This program helps deliver treatment to those in need, even if they don’t have insurance. If you are uninsured or experience a lapse in your coverage, this program may cover you. | Medexus |
SAVINGS CARD | https://www.novocare.com/hemophilia/savings-card.html | The card could provide 30-day supplies of medication for as low as $0, with a maximum of $12,000 in savings per year, if you have commercial insurance | Novo Nordisk |
PRODUCT ASSISTANCE PROGRAM | https://www.novocare.com/hemophilia/let-us-help/pap.html | 1‑866‑310‑7549 Hemophilia and Rare Bleeding Disorder PAP provides medication to qualifying applicants at no charge. | Novo Nordisk |
COMPASSIONATE ACCESS PROGRAM | https://factormyway.com/home/compassionate-access.html | 1-855-498-4260 The Compassionate Access Program provides Octapharma factor therapy at no cost for patients with hemophilia A or von Willebrand Disease experiencing financial hardship due to job loss, insurance coverage loss, or who are finding it challenging to cover the cost of factor therapy. | Octapharma |
FACTOR MY WAY CO-PAY ASSISTANCE PROGRAM FOR WILATE | https://www.wilateusa.com/patient-support/co-pay-assistance-reimbursement/ | 1-866-938-2575 Up to $12,000 per year for out-of-pocket costs associated with wilate treatment available for eligible patients. | Octapharma |
FACTOR MY WAY FREE TRIAL PROGRAM FOR NUWIQ | https://nuwiqusa.com/patient-support/free-trial-program/ | 1-866-830-6414 NUWIQ Free Trial Program is for patients with hemophilia A and allows for up to six (6) doses, or 20,000 IUs, of NUWIQ at no cost. | Octapharma |
FACTOR MY WAY FREE TRIAL PROGRAM FOR WILATE | https://www.wilateusa.com/patient-support/free-trial-program/ | 1-866-938-2575 Wilate Free Trial Program is for patients with von Willebrand Disease. It allows for 1-3 doses up to 5,000 IUs of wilate at no cost. | Octapharma |
PFIZER FACTOR SAVINGS CARD | https://www.pfizerhemophiliasupport.com/savings-card | 1-844-989-HEMO (4366) The card helps patients save to $12,000 on their co-pay, deductible, and co-insurance. | Pfizer |
PFIZER HEMOPHILIA CONNECT | https://www.pfizerhemophiliasupport.com/hemophilia-connect | 1-844-989-HEMO (4366) A patient affairs liaison provides access to Pfizer tools and programs including savings card, reimbursement support, Patient Assistance program, trial program, and community resources. Reimbursement support includes assistance with prior authorizations, appeals, claim denials, and more. | Pfizer |
PFIZER TRIAL PRESCRIPTION PROGRAM | https://www.pfizerhemophiliasupport.com/trial-prescription | 1-844-989-HEMO (4366) The trial prescription program is for patients with commercial insurance prescribed factor products for the first time. | Pfizer |
ALPROLIX CO-PAY, FACTOR ACCESS, AND FREE TRIAL PLUS PROGRAM | https://www.alprolix.com/resources-and-support/available-financial-support.html | 1-855-692-5776 (1-855-MyALPROLIX) The free trial plus program provides a free 30-day supply of ALPROLIX. The copay program covers up to $20,000 of co-payment, co-insurance, and out of pocket costs. The factor access program helps patients with interruptions in insurance coverage continue use of ALPROLIX. | Sanofi Genzyme |
ELOCTATE CO-PAY, FACTOR ACCESS, AND FREE TRIAL PLUS PROGRAM | https://www.eloctate.com/resources/financial-assistance.aspx | 1-855-693-5628 (1-855-ELOCTATE) The free trial plus program provides a free 30-day supply of ELOCTATE. The copay program covers up to $20,000 of co-payment, co-insurance, and out of pocket costs. The factor access program helps patients with interruptions in insurance coverage continue use of ELOCTATE. Applications are available in English and Spanish | Sanofi Genzyme |
HELP AT HAND | https://www.takeda.com/en-us/corporate-responsibility/patient-assistance/ | Help At Hand provides assistance for people who have no insurance or who do not have enough | Takeda |
HEMATOLOGY SUPPORT CENTER | www.hematologysupport.com | 1-888-229-8379 The team helps patients prescribed Takeda products by providing information about financial assistance options, emergency access for patients with a sudden lapse in coverage, assisting with insurance challenges, providing educational tools, and connecting with community resources. | Takeda |
FREEDOM OF CHOICE | 1-888-229-8379 Provides eligible individuals with a free trial of select Takeda products. | Takeda | |
PATIENT ASSISTANCE PROGRAM | https://www.hematologysupport.com/financial-assistance#about-pap | 1-888-229-8379 Patients with no insurance who are prescribed a Takeda treatment may be eligible for medication at no cost. | Takeda |
COPAY ASSISTANCE PROGRAM | https://www.hematologysupport.com/Financial-Assistance | 1-888-229-8379 Covers eligible patient’s copay, coinsurance, or deductible medication costs up to $20,000 per year for Advate, Adynovate, Feiba, Hemofil M, Recombinate, Rixubis, Vonvendi | Takeda |
Power of X Coagadex | https://www.coagadex.com/support | Power of X is a free program that supports people with factor X deficiency and their caregivers by offering patient liasions who provide information on Coagadex, connect you with others in the factor X community, and answer questions about finding care and treatment. | Coagadex |