Adcirca Co-pay Assistance Program - Covered benefit
Coverage RequiredFunded
About
The Adcirca Co-pay Assistance Program - Covered benefit is designed to provide financial relief to eligible patients by significantly reducing their out-of-pocket expenses for Adcirca prescriptions. By participating in the Adcirca Co-pay Assistance Program, qualified patients with commercial insurance can pay as little as $0 per prescription, with a maximum monthly benefit of $800. This program is a valuable resource for those prescribed Adcirca for FDA-approved indications, offering substantial savings and support.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$9600 annual maximum benefit
•12 maximum fills per year
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: Yes
•Needs Based: No
•Activation Required: No
Program Details
•Eligible commercially insured patients may pay as little as a $0 copay for each prescription of Adcirca up to the maximum monthly benefit of $800
Enrollment Forms
Enrollment Form