Mirena Co-pay Savings Program

Funded

About

The Mirena Co-pay Savings Program offers significant cost savings for patients using the Mirena drug. By participating in the Mirena Co-pay Savings Program, commercially insured patients can reduce their expenses to as little as $20, with a maximum benefit of $1,214. This program is designed to ease the financial burden for eligible patients and ensure they maintain access to the Mirena drug. Ensure to notify the Mirena Co-pay Savings Program of any insurance changes to continue enjoying these benefits.

Insurance requirements: Commercially insured

As low as: $20 per fill

Enrollment Forms

Enrollment Form

Benefits

•$1214 annual maximum benefit

•1 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

•Commercially insured patients may pay as little as $20

•Mirena benefit has a max of $1,214 per patient

•Patients must meet eligibility requirements

•Patient must inform program for Mirena of change in insurance status

•If you have any questions or issues regarding the use of this program, please call us at 18332442719

Enrollment Forms

Enrollment Form