Leqvio Co-Pay Card

Funded

About

The Leqvio Co-Pay Card program offers significant financial assistance for patients prescribed Leqvio. It is designed to help eligible commercially insured patients in the U.S. and Puerto Rico to reduce their out-of-pocket expenses to as low as $0 per treatment. The program provides a substantial benefit with a maximum per treatment savings of $3000 and an annual cap of $3600, ensuring affordability and accessibility for those who qualify.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$3600 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible commercially insured patients may pay as little as $0 per treatment

•Maximum savings varies depending on insurance plan and coverage, with a per treatment benefit maximum of $3000 and an annual benefit limit of $3600. Per treatment maximums and an annual benefit cap apply

•For patients covered under the medical benefit, rebate for outofpocket costs will be assigned directly to provider, unless patient requests direct reimbursement

•Patient is responsible for any costs once limit is reached in a calendar year

Enrollment Forms

Enrollment Form