Aplenzin Copay Savings Program - Non-covered benefit
Funded
About
The Aplenzin Copay Savings Program - Non-covered benefit provides significant savings on Aplenzin prescriptions for patients with commercial insurance who meet the eligibility criteria. This program helps reduce out-of-pocket expenses for those without coverage under their commercial plans and ensures access to Aplenzin at a reduced copay amount.
Insurance requirements: Commercially insured, Underinsured
As low as: $100 per mo
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: Yes
Program Details
•Eligible commercially insured patients/RX not covered will pay $100 per 30day prescription
•The coupon has a maximum benefit, and the patient is responsible for all additional costs and expenses after maximum benefit limits are reached
•For any questions regarding DST Pharmacy Solutions online processing, please call the Help Desk at 18443730987
Enrollment Forms
Enrollment Form