Alongside Kesimpta Bridge Program

Funded

About

The Alongside Kesimpta Bridge Program offers an invaluable opportunity for patients prescribed Kesimpta, providing coverage for a monthly maintenance dose for up to 12 months or until their insurance approval is obtained. This program is an ideal solution for those facing insurance denials based on prior authorization requirements and ensures that eligible patients continue receiving essential medication. The program is exclusively for individuals with commercial insurance in the United States and Puerto Rico.

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 patients may receive a monthly maintenance dose for up to 12 months or until insurance coverage approval, whichever occurs first

•HCP should fax completed start form to 8333180680

•Patients can also enroll online at https://start.kesimpta.com/

•For more information call 18555374678, 8:30 am8:00 pm ET, MondayFriday

Enrollment Forms

Enrollment Form