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