Ebglyss Savings Card - Covered benefit

Coverage RequiredFunded

About

The Ebglyss Savings Card - Covered benefit program provides significant savings on the Ebglyss medication for eligible patients. By participating in the Ebglyss Savings Card program, qualified individuals with private insurance can reduce their monthly prescription costs to as low as $5, subject to program caps. This initiative aims to enhance patient access to Ebglyss while providing substantial cost savings.

Insurance requirements: Commercially insured, Underinsured

As low as: $5 per mo

Enrollment Forms

Enrollment Form

Benefits

•$9450 annual maximum benefit

•24 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: Yes

•Needs Based: No

•Activation Required: Yes

Program Details

•If Ebglyss is covered by commercial insurance, patients may be eligible to pay as little as $5 for each monthly prescription fill

•Offer subject to a monthly cap and a separate annual cap (annual cap of $9450 for commercially insured patients)

•Card may be used for a maximum of up to 14 prescription fills per calendar year and a separate maximum of up to 24 prescription fills over the lifetime of the Program, subject to the maximum monthly and annual savings limits

Enrollment Forms

Enrollment Form

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