Hympavzi Co-Pay Savings Program

Funded

About

The Hympavzi Co-Pay Savings Program offers significant financial assistance for patients prescribed Hympavzi. Eligible patients with private insurance can benefit from reduced out-of-pocket costs, potentially paying as little as $0, with an annual maximum benefit of $15,000. The program is exclusively available in the U.S. and Puerto Rico, aiming to make access to Hympavzi more affordable and manageable.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$15000 annual maximum benefit

•12 maximum fills per year

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 pay as little as $0 in outofpocket costs

•Maximum benefit of $15,000 per calendar year

•For assistance or additional information, call 8887332030, Monday through Friday, 8 am – 6 pm ET

Enrollment Forms

Enrollment Form