Ipsen Cares Co-Pay Assistance Program: Increlex

Funded

About

Ipsen Cares Co-Pay Assistance Program: Increlex offers eligible patients significant financial benefits for the drug product, Increlex. The program ensures that commercially insured patients can potentially pay as little as $0 out-of-pocket, making it an appealing option for those seeking cost-effective treatment plans.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•12 maximum fills per year

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

•Eligible commercially insured patients may pay as little as $0 outofpocket up to a maximum annual limit

•HCP and patient may download and fax completed enrollment form to 8885252416

•Enrollment may also be completed online

•For assistance or additional information, call 8664355677, 8:00 am to 8:00 pm ET, Monday Friday

Enrollment Forms

Enrollment Form