Byooviz Free Drug Program
Funded
About
The Byooviz Free Drug Program offers a valuable opportunity for patients in the United States seeking assistance with their prescription needs for Byooviz. By providing Byooviz at no cost to eligible individuals who meet specific financial and residency criteria, the Byooviz Free Drug Program aims to alleviate the financial burden on patients lacking comprehensive prescription insurance. The program exclusively covers the drug cost, making the Byooviz Free Drug Program a vital resource for individuals who qualify.
Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•No cost for individuals who meet certain financial eligibility criteria such as residency requirements, therapy status, income level, and insurance coverage
•Program covers the cost of the drug only; program not responsible for costs associated with administration of therapy, such as office visits, administration costs, or other professional services
•HCP and patient must complete form and send via fax to 12406968830
•HCP can also enroll patient online at http://biogenbiosimilarsupportservices.com/
•Call 8774228360 for assistance or additional information
Enrollment Forms
Enrollment Form