PROGRAM MAY NO LONGER BE AVAILABLE: Apokyn Co-Pay Assistance Program
Funded
About
The PROGRAM MAY NO LONGER BE AVAILABLE: Apokyn Co-Pay Assistance Program offers eligible patients significant financial relief on their Apokyn prescriptions. By potentially reducing out-of-pocket costs to $0 per prescription (subject to monthly limits), the Apokyn Co-Pay Assistance Program aims to make Apokyn more accessible. Under this program, pharmacy benefits are verified, and patients receive Apokyn directly from a selected pharmacy upon approval. Annual reapplication is necessary to continue benefiting from the program.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients could pay $0 per prescription (monthly maximum benefit limits apply)
•Physician submits a Statement of Medical Necessity Prescription to the APOKYN Patient Program administrators via fax to 18885252431
•Pharmacy benefits will be verified to determine eligibility, and the pharmacy will be notified of patient's enrollment to the program
•Prescription is faxed to the pharmacy for APOKYN delivery, and the pharmacy will confirm the copay expense with the patient
•APOKYN will be shipped to the patient from the selected pharmacy after receiving patient instructions
•Eligible patients receive assistance on an annual basis; applicants must reapply for assistance each year
•Call 8777276596, Option 3 Monday through Friday 8:00 AM to 8:00 PM ET for questions
Enrollment Forms
Enrollment Form