Adbry Copay Program

Funded

About

The Adbry Copay Program offers significant benefits for eligible patients prescribed with the Adbry drug product. With this program, commercially insured patients can reduce their copay costs, potentially paying as little as $0 per fill. This initiative provides up to $13,000 in annual benefits, making Adbry more accessible to those who meet the criteria. Through the Adbry Copay Program, patients can ensure they receive their medication conveniently, either at home or at their healthcare provider's office.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$13000 annual maximum benefit

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: Yes

Program Details

•Eligible commercially insured patients may pay as little as $0 copay per fill

•Annual maximum benefit $13,000 per eligible patient

•Adbry may be shipped either at home or at healthcare provider office, after submission of a completed Enrollment and Prescription Form; A Nurse Advocate must coordinate shipment to a patient, which may extend delivery time

•Amount of reimbursement may vary, including based on an eligible patient’s insurance coverage

•Patients remain responsible for any remaining costs for the product after application of Program reimbursement or reaching the annual maximum limitation

•For more information, call 8446923279 from 8 AM8 PM EST

•For any questions regarding processing, please call the Pharmacy Help Desk at 18558953629

Enrollment Forms

Enrollment Form