Secura Care Co-Pay Program: Copiktra
Funded
About
The Secura Care Co-Pay Program: Copiktra is designed to help patients access Copiktra, a critical medication, at an affordable price. Through the Secura Care Co-Pay Program, eligible patients can significantly reduce their monthly costs, paying no more than $5 per month, up to an annual cap of $25,000. This valuable program supports those with private insurance by making Copiktra more financially accessible, ensuring that financial constraints do not hinder patients from receiving necessary treatment.
Insurance requirements: Commercially insured
As low as: $5 per mo
Enrollment Forms
Enrollment Form
Benefits
•$25000 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
•Eligible patients may pay no more than $5 per month up to an annual maximum of $25,000 per calendar year
•Patients can enroll online, or download enrollment form and complete with HCP
•Enrollment form is located here: https://securabio.com/forms/SecuraCareEnrollmentFormUSCPR2213602022823.pdf
•HCP must complete form and fax all pages to Secura Care (800) 4526744
•For more information, call 18449732872, MondayFriday 10AM – 7PM ET
Enrollment Forms
Enrollment Form