Ilumya Support Co-pay Program

Funded

About

The Ilumya Support Co-pay Program is designed to offer substantial financial assistance to patients prescribed Ilumya, ensuring those with private insurance can access this crucial drug product for an FDA-approved indication at a reduced or zero co-pay cost. The Ilumya Support Co-pay Program specifically targets eligible patients to support their journey effectively.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$6000 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: Yes

Program Details

•Eligible commercially insured patients may pay as little as $0 per dose

•This copay card only covers pharmacy benefits; if patient needs coverage for medical benefits, please call 8554458692

•HCP can also utilize the Ilumya Support Provider Portal (https://www.ilumyasupport.com/ilumyasupportprovider/) for patient enrollment and case update status/notification and monitoring

•Call 8554458692 Monday through Friday, 8 AM to 8 PM ET, for assistance or additional information

•For help processing the card, call 8662536677, Monday Friday 8:00 am 8:00 pm ET

Enrollment Forms

Enrollment Form