MyNavCare Co-pay Assistance Program: Epkinly

Funded

About

The MyNavCare Co-pay Assistance Program: Epkinly is designed to help patients manage the cost of their Epkinly prescriptions. With a maximum benefit of $25,000 per calendar year, the program ensures that patients with commercial insurance who have been prescribed Epkinly for an approved indication can access financial support. The MyNavCare Co-pay Assistance Program: Epkinly covers out-of-pocket costs incurred up to 180 days prior to enrollment, providing substantial aid to eligible patients across the United States.

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: No

Program Details

•Patients must have commercial insurance that provides coverage for the product that has been prescribed by his or her HCP

•Maximum benefit per patient is twentyfive thousand dollars ($25,000) during a calendar year; patients remain responsible for remaining costs

•Program benefits must be renewed every calendar year (January 1 through December 31)

•Program may cover patient’s outofpocket costs incurred for Product that was administered up to 180 days prior to the date the patient is enrolled within the same calendar year

•Patients must have a valid prescription

•Restrictions apply

•HCP and patient must complete form and fax to 18666282276

•For any questions, contact a MyNavCare Support Specialist by calling 1866NAVCAR1 (18666282271), MondayFriday, 8 AM8 PM ET

Enrollment Forms

Enrollment Form