Myfembree Copay Assistance Program - Non-covered benefit
Funded
About
The Myfembree Copay Assistance Program - Non-covered benefit offers substantial support for patients using Myfembree. By providing eligible patients the opportunity to pay as little as $5 per monthly prescription, with a yearly maximum benefit of $5,000, the Myfembree Copay Assistance Program significantly reduces out-of-pocket costs. This program is designed for patients with commercial insurance and excludes those with government-funded insurance plans.
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: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients will pay as little as $5 per monthly prescription
•Maximum of $5,000 per calendar year
•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 - Covered benefit
Coverage Required
Commercially Insured
Max Saving: $5000/year*
12 prescription fills per year*
Pay as low as
$5/ mo