Haegarda Copay Program

Funded

About

The Haegarda Copay Program offers financial assistance to eligible patients using the drug Haegarda. Designed for residents within the United States with private insurance coverage, the Haegarda Copay Program helps reduce out-of-pocket costs for prescription medication. Benefits include covering product costs not insured by the patient's commercial provider, such as deductibles, co-payments, or coinsurance, making Haegarda more accessible to those in need.

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 be able to receive financial assistance to cover their outofpocket costs

•Benefits may be claimed only for product costs not covered by the patient’s commercial insurer such as: a deductible, copayment, or coinsurance

•HCP and patient must complete form and fax completed form 18664152162

•Call 8444234273, MondayFriday, 8 AM 8 PM ET, for assistance or additional information

Enrollment Forms

Enrollment Form

Other Programs

Accessia Health: Hereditary Angioedema - Private Insurance

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Underinsured

Uninsured

Max Saving: $9500/year*

Accessia Health: Hereditary Angioedema - Public Insurance

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Max Saving: $7500/year*

Other Tools for Haegarda

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