Brineura Co-Pay Assistance Program

Funded

About

The Brineura Co-Pay Assistance Program offers valuable financial support for eligible patients who are prescribed Brineura, helping to reduce the financial burden of treatment. This program is available exclusively to patients with commercial insurance within the United States and Puerto Rico, providing access to necessary treatment under the comprehensive guidance of a BioMarin RareConnections Case Manager. Enroll now to benefit from the Brineura Co-Pay Assistance Program’s dedicated support and ensure your prescribed medication is more affordable.

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

•Eligible commercially insured patients may receive financial assistance for treatment when enrolled in this program

•To apply for assistance, HCP and patients should fill out the online enrollment form; a BioMarin RareConnections Case Manager will contact patient to discuss eligibility

•Call 8669066100, MondayFriday, 8AM8PM ET, for assistance or additional information

Enrollment Forms

Enrollment Form