KevzaraConnect Copay Card (RA/pJIA)

Funded

About

The KevzaraConnect Copay Card (RA/pJIA) program offers eligible patients significant financial relief on their Kevzara prescriptions. With the KevzaraConnect Copay Card, eligible patients may reduce their copay to as little as $0 per month, providing up to $15,000 annually in assistance, making it an excellent choice for individuals who have private insurance covering Kevzara prescriptions.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$15000 annual maximum benefit

•12 maximum fills per year

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, commercially insured patients may pay as little as $0 copay per month

•Maximum annual patient benefit of $15,000

•Copay amounts after applying copay assistance may depend on the patient’s insurance plan and may vary

•Program does not cover or provide support for supplies, procedures, or any physicianrelated services associated with Kevzara

•Pharmacists with processing questions can call the Help Desk at 8445389272

Enrollment Forms

Enrollment Form