ADvantage Ig Patient Support Program: Bivigam

Funded
About
The ADvantage Ig Patient Support Program: Bivigam is designed to provide financial assistance for patients prescribed Bivigam. This program helps alleviate out-of-pocket costs for the medication, Bivigam, by covering up to $6,000 annually after an initial patient contribution. ADvantage Ig ensures eligible participants can access Bivigam without financial burden by supporting deductible, copay, or coinsurance payments.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$6000 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
•Program covers up to $6,000 of outofpocket costs per calendar year for eligible patients, after the patient has paid the first $75 of their required BIVIGAM deductible, copay or coinsurance and administration amount
•The program does not cover office/facility copays not directly associated with BIVIGAM treatment or any other costs excluded by the program guidelines
•Proof required for receiving payment for outofpocket drug costs must be a valid Explanation of Benefits(EOB) or specialty pharmacy invoice, which must be submitted within 120 days after each treatment
•Prescriber must fill out and fax the enrollment form back to ADvantage Ig Patient Support Program at (833) 2160441
•Call (833) 2362246 Monday through Friday, 9:00 am – 6:00 pm Eastern Time for more information