Kiniksa Pharmaceuticals Copay Assistance Program: Arcalyst
Funded
About
The Kiniksa Pharmaceuticals Copay Assistance Program: Arcalyst offers substantial benefits for patients prescribed Arcalyst by potentially reducing out-of-pocket costs to as low as $0 per month. This program is designed to assist patients with private insurance in managing the financial aspects of their treatment with Arcalyst, making it a very beneficial option for eligible U.S. residents.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$25000 annual maximum benefit
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
•The Kiniksa Copay Assistance Program may be able to reduce outofpocket costs to as low as $0 per month for eligible patients
•Valid only for the amount of the actual outofpocket cost (up to the maximum amount offered through the program)
•HCP and patient must sign and complete form and fax to 7816097826; incomplete fields may delay the start of treatment
•Must provide copies of patients medical and prescription insurance cards
•Not available for uninsured or cashpaying patients
•Call 8335464572 for assistance or additional information
Enrollment Forms
Enrollment Form