Blueprint Co-Pay Assistance Program: Ayvakit

Funded

About

The Blueprint Co-Pay Assistance Program: Ayvakit offers patients significant financial benefits on their Ayvakit prescriptions. The program allows eligible commercially insured patients to potentially pay as little as $0 per prescription, with an annual maximum benefit of $25,000. By enrolling in the Blueprint Co-Pay Assistance Program: Ayvakit, patients can ease their financial burden and focus on their treatment.

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: Yes

Program Details

•Eligible commercially insured patients may pay as little as $0 per prescription

•Up to an annual maximum benefit of $25,000

•Patients may enroll online or by calling

•The value of this program is exclusively for the benefit of enrolled patients and is intended to be credited toward patient outofpocket obligations, including applicable copayments, coinsurance, and deductibles

•Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account

•Patient is responsible for complying with any applicable limitations and requirements of his/her health plan related to the use of the program

•Program may not be combined with any thirdparty rebate, coupon, or offer

•If you have any questions, please contact customer support at 1888BLUPRNT (18882587768) MondayFriday 8 am8 pm ET

Enrollment Forms

Enrollment Form