ForgingBridges Copay Assistance Program: Attruby

Funded

About

The ForgingBridges Copay Assistance Program: Attruby offers powerful support for patients prescribed Attruby by significantly reducing out-of-pocket expenses. This program provides eligible patients, with commercial or private insurance, the opportunity to pay as little as $0 for each qualifying prescription of Attruby. The ForgingBridges Copay Assistance Program is an ideal support system for patients looking to ease the financial burden of their treatment with the FDA-approved Attruby.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•13 maximum fills per year

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: No

Program Details

•Eligible commercially insured patients may pay as little as $0 outofpocket for each qualifying prescription, subject to maximum benefit amounts

•Card may not be used more than once every 28 days

•Patients may enroll online and receive copay card information immediately upon approval

•For assistance or additional information, call 8885527434, Mon–Fri, 8 AM to 8 PM ET

Enrollment Forms

Enrollment Form