Elahere Copay Assistance Program
Funded
About
The Elahere Copay Assistance Program offers significant benefits for patients prescribed Elahere, helping them manage medication costs effectively. By reducing out-of-pocket expenses to as low as $0 per dose for eligible commercially insured patients, the Elahere Copay Assistance Program ensures access to necessary treatment while easing financial burdens.
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 pay as little as $0 per dose
•HCP should fax completed enrollment form to 8334646329
•Call 8333524373, Monday to Friday, 8 AM to 8 PM ET, or email ELAHERESupport@cardinalhealth.com for assistance or additional information
Enrollment Forms
Enrollment Form