EntyvioConnect Bridge Program

Funded

About

The EntyvioConnect Bridge Program offers an invaluable support mechanism for patients currently on Entyvio therapy who face temporary gaps in their commercial insurance coverage. By providing Entyvio and Entyvio Pen at no cost for up to 6 months, the EntyvioConnect Bridge Program addresses critical healthcare needs, ensuring ongoing treatment access. This program highlights the commitment to patient support and continuity of care by coordinating with available coverage assistance programs post the bridge period.

Insurance requirements: Commercially insured, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Entyvio patients with a temporary loss or gap in commercial coverage are eligible to receive Entyvio at no cost for up to 6 months

•After 6 months, EntyvioConnect will look for available coverage assistance programs if needed

•Patients must be currently receiving Entyvio therapy and experiencing a gap in or loss of commercial coverage

•Patients who have not yet received their first dose of Entyvio are not eligible

•Free product provided through the Bridge Program is only available through the Bridge Program’s contracted noncommercial specialty pharmacy

•The Bridge Program is a onetime offer per patient

•Patient and HCP complete enrollment forms; HCP should fax completed enrollment forms to 18774886814

•For questions, call 18553689846 Monday to Friday, from 8 am to 8 pm ET (except holidays)

Enrollment Forms

Enrollment Form

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