Stemline ARC Commercial $0 Copay Program: Elzonris

Funded

About

The Stemline ARC Commercial $0 Copay Program: Elzonris offers patients substantial financial assistance for the drug Elzonris. This program ensures that eligible, commercially insured patients can significantly reduce the cost of their prescriptions, paying as little as $0 with a maximum savings of $25,000 per calendar year. The program is designed to support those with private insurance, making the essential drug Elzonris more accessible to those who qualify.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$25000 annual maximum benefit

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: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible commercially insured patients may may pay as little as $0 per prescription with a maximum savings of $25,000 per calendar year

•Maximum benefit of $25,000 per calendar year and $9,500 per fill

•Patients must first be enrolled in the Stemline ARC program

•For assistance or additional information, call 8334783654, Monday through Friday (9 am6 pm ET)

•For help processing the card, call 8005192140

Enrollment Forms

Enrollment Form