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