Apellis Co-Pay Program: Empaveli

Funded

About

The Apellis Co-Pay Program: Empaveli offers a valuable opportunity for patients prescribed Empaveli to potentially reduce their out-of-pocket expenses, such as co-pay and co-insurance costs. This program is specifically designed for those with commercial insurance, providing significant financial assistance to eligible patients. By enrolling in the Apellis Co-Pay Program through ApellisAssist, patients can effectively manage their treatment costs for Empaveli and ensure continuous access to their medication.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•The Apellis CoPay Program may be able to help cover copay and coinsurance costs for eligible commercially insured patients

•Patients must be enrolled in the ApellisAssist Program

•Patients can enroll by phone (18666927527) or fax form to (18887541285)

•For more information patients must call 18666927527 from 8 am 8 pm ET, MondayFriday or visit EMPAVELI.com

Enrollment Forms

Enrollment Form