Berinert Co-Pay Program
Funded
About
The Berinert Co-Pay Program offers an exceptional opportunity for patients prescribed Berinert, providing financial assistance to ensure access to this vital medication. The Berinert Co-Pay Program is designed to support patients with private insurance coverage, facilitating the procurement of Berinert through a straightforward enrollment process. By utilizing the Berinert Co-Pay Program, patients can manage their treatment more effectively, ensuring peace of mind and continued access to their medication for up to 12 months at a time.
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
•Patients must fax their completed enrollment form to 18664152162
•The program will conduct a benefits investigation to determine eligibility
•Patients will be notified of their eligibility, and can collect their medication from a participating pharmacy
•Patients will be enrolled for 12 months, and must reenroll every 12 months
•For assistance, call BERINERT Connect at 18772364HAE (18772364423), Monday–Friday, 8 AM–8 PM ET
Enrollment Forms
Enrollment Form