Ngenla Copay Program - Non-covered benefit

Funded

About

The Ngenla Copay Program - Non-covered benefit provides significant assistance for patients using the Ngenla drug. It is designed for those with private insurance to help alleviate the cost of their medication. By enrolling in the Ngenla Copay Program, eligible patients can enjoy easy access and potential savings on their prescribed Ngenla treatments through various participating pharmacies.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•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

•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