Secura Bio Quickstart Program: Copiktra

Funded

About

The Secura Bio Quickstart Program: Copiktra offers a fantastic opportunity for eligible patients to receive their first cycle of the drug Copiktra at no cost. Aimed at supporting patients facing delays in prior authorization, the Secura Bio Quickstart Program ensures those prescribed Copiktra can access their medication swiftly. With no income requirements and specific eligibility criteria, the Secura Bio Quickstart Program is dedicated to making Copiktra accessible to those who need it. To learn more, contact the Secura Bio Quickstart Program directly.

Insurance requirements: Commercially insured, Underinsured

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

•Secura Bio Quickstart Program offers the first cycle of drug at no cost to eligible patients who have a delay of 5 days or more in obtaining prior authorization

•Patients should complete form together with their HCP and fax to: 18004526744

•Limits apply

•For more information, call 18449732872, MondayFriday 10AM – 7PM ET

Enrollment Forms

Enrollment Form