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