Ngenla Copay Program

Funded

About

The Ngenla Copay Program offers a valuable opportunity for patients prescribed Ngenla to minimize their out-of-pocket expenses. Eligible patients with private insurance can benefit from this program by potentially reducing their monthly copay to as low as $0, with an annual savings cap of $6,000. The Ngenla Copay Program renews automatically each year, ensuring continued support for patients managing their healthcare costs.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$6000 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 commercially insured patients may pay as low as $0 per month with a savings of up to $6,000 per calendar year

•Patients will be responsible for paying the remaining monthly outofpocket costs after the maximum has been reached

•Patients are automatically reenrolled January 1 of each year

•Pharmacists can enroll patients online and card can be downloaded for immediate use after answering eligibility questions

•Patients may also sign up by calling the Pfizer Bridge Program at 18006451280

•The Card will be accepted only at participating pharmacies; pharmacies that do not participate may be able to submit a request for a rebate

•Pharmacy Help Desk: 8005716075

Enrollment Forms

Enrollment Form