Amgen By Your Side Copay Assistance Program: Krystexxa

Funded

About

The Amgen By Your Side Copay Assistance Program: Krystexxa is designed to support patients in managing the costs associated with Krystexxa. Eligible patients can potentially lower their expenses significantly, sometimes paying as little as $0. This program is ideal for those with commercial insurance looking for financial relief while being treated with Krystexxa.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

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 be to pay as little as $0

•HCP should fax completed enrollment form to 8776339522 or email: GOUTABYS@amgen.com

•Enrollment form may also be submitted online

•For assistance or additional information, call 8776339521

Enrollment Forms

Enrollment Form