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
Enrollment Forms
Enrollment Form
Other Programs
Myfembree Copay Assistance Program
Commercially Insured
Max Saving: $5000/year*
12 prescription fills per year*
Pay as low as
$5/ mo
Myfembree Copay Assistance Program - Non-covered benefit
Commercially Insured
Max Saving: $5000/year*
12 prescription fills per year*
Pay as low as
$5/ mo