Myfembree Copay Assistance Program - Covered benefit

Coverage RequiredFunded
About
The Myfembree Copay Assistance Program - Covered benefit is designed to help eligible patients afford their Myfembree prescriptions. With this program, patients with commercial insurance can pay as little as $5 for a monthly prescription or $15 for a 90-day prescription, with an annual savings limit of $5,000. The Myfembree Copay Assistance Program is an excellent option for those seeking cost-effective solutions for their healthcare needs while utilizing the Myfembree drug product.
Insurance requirements: Commercially insured
As low as: $5 per mo
Enrollment Forms
Enrollment Form
Benefits
•$5000 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: Yes
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients will pay as little as $5 per monthly prescription or $15 if they received a 90day prescription
•Maximum of $5,000 per calendar year; after annual max is reached patient will be responsible for the remaining monthly outofpocket costs
•Program may not be redeemed more than once every 21 days