Keveyis $0 Co-pay Program

Funded

About

The Keveyis $0 Co-pay Program is designed to provide patients with affordable access to the drug Keveyis. Through this program, eligible patients can reduce their prescription costs significantly, potentially paying as little as $0. The Keveyis $0 Co-pay Program offers a maximum annual benefit of $10,000, ensuring that patients receive financial support throughout their treatment. To enroll, patients and healthcare providers must complete the necessary documentation and submit it for verification.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$10000 annual maximum benefit

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may pay as little as $0 for their prescription

•Maximum annual benefit of $10,000

•HCP and patient should fax completed Prescription Start Form and relevant medical documentation to 8445381030

•Call Xeris CareConnection at 8445383947, Monday through Friday from 8 AM to 7 PM ET for assistance or additional information

Enrollment Forms

Enrollment Form