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

Other Programs

Aplenzin Copay Savings Program - Covered benefit

Coverage Required

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Pay as low as

$5/ fill

Bausch Health Patient Assistance Program

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Other Tools for Aplenzin

Check medication interactions

Get prior authorization forms

Get patient education materials