Ipsen Cares Co-Pay Assistance Program: Onivyde

Funded

About

The Ipsen Cares Co-Pay Assistance Program: Onivyde provides significant financial relief for eligible patients by covering out-of-pocket costs for Onivyde prescriptions. This program is designed to benefit patients by potentially lowering their prescription fill to as little as $0, making Onivyde more accessible for those with private insurance. Patients must enroll in the IPSEN CARES to receive these benefits.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may be able to save on outofpocket Ipsen medication costs

•Patient can pay as little as $0 per prescription fill

•An annual calendar year maximum copay benefit applies

•Program resets every January 1st

•Patient and HCP may enroll online, or submit completed enrollment form via fax to 8885252416

•For assistance or additional information, call 8664355677, 8:00 am to 8:00 pm ET, Monday Friday

•Reimbursement requests must be submitted within 180 days of treatment date

Enrollment Forms

Enrollment Form