Amgen By Your Side Copay Assistance Program: Actimmune
Funded
About
The Amgen By Your Side Copay Assistance Program: Actimmune offers financial support to eligible patients prescribed Actimmune. This program helps reduce the financial burden of co-pay and co-insurance for commercially insured individuals, making Actimmune treatments more accessible. The Amgen By Your Side Copay Assistance Program: Actimmune is dedicated to ensuring that eligible patients can afford their medication through convenient enrollment processes and supportive resources.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible commercially insured patients may receive financial assistance for their copay and coinsurance amounts
•HCP should fax completed enrollment form to: 8773057706 or emailed to ACTIMMUNEABYS@amgen.com
•For assistance or additional information, call 8773057704
Enrollment Forms
Enrollment Form