Ofev Bridge Program

Funded

About

The Ofev Bridge Program offers a valuable opportunity for patients prescribed Ofev who face challenges with insurance approval. This program provides a temporary, cost-free supply of the drug Ofev while insurance approval is pending. The Ofev Bridge Program ensures patients maintain access to their necessary medication despite potential delays, supporting continued treatment adherence.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•The OFEV Bridge Program may be able to provide OFEV free of charge temporarily to patients who are experiencing a delay in getting their prescription approved

•Bridge program temporarily provides 15day supply of OFEV, with up to 3 additional 15day refills, to eligible patients in case of insurance plan delay

•Enrollment can be completed online, via fax, phone, or mail:

•Online: https://pro.boehringeringelheim.com/us/products/ofev/supportservicesopendoors

•Fax: Fax the Open Doors OptIn form to 8448806338

•Phone: call 8666736366 or text "START" to 84537

•Mail: Mail the OPEN DOORS OptIn Form to P.O. Box 5070, Louisville, KY 402050070

•For more information call Open Doors at 18666736366

•Prescription form for SP use: https://pro.boehringeringelheim.com/us/products/ofev/bipdf/prescriptionform

Enrollment Forms

Enrollment Form