Kiniksa Pharmaceuticals Copay Assistance Program: Arcalyst

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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

Other Programs

Kiniksa Pharmaceuticals Patient Assistance Program: Arcalyst

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Pay as low as

$0/ fill

Kiniksa Pharmaceuticals Quick Start Program: Arcalyst

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Other Tools for Arcalyst

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