Ofev Commercial Copay Program

Funded

About

The Ofev Commercial Copay Program offers substantial savings for patients prescribed with Ofev. The program provides eligible commercially insured patients the opportunity to pay as little as $0 per month, with varying maximum monthly savings, enhancing affordability. It’s designed exclusively for those with private insurance within the U.S., Puerto Rico, and U.S. territories. With the enrollment and re-enrollment process supported by the Specialty Pharmacy, the Ofev Commercial Copay Program ensures ongoing financial assistance throughout the treatment with Ofev.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•16 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 little as $0/month; maximum monthly savings may vary (subject to a maximum of 16 benefits per enrollment year)

•Restrictions, including monthly and yearly maximums, may apply

•Patient ID number valid for 12 consecutive months from activation date

•Patient must reenroll every 12 months; the Specialty Pharmacy will complete patient enrollment and reenrollment

•Call 8553962603 for assistance or additional information

Enrollment Forms

Enrollment Form