Orenitram Co-pay Assistance Card
Funded
About
The Orenitram Co-pay Assistance Card is designed to help patients manage the costs associated with their Orenitram prescriptions. By enrolling in the Orenitram Co-pay Assistance Card program, eligible patients can significantly reduce their out-of-pocket expenses, potentially paying as little as $0 per prescription. This program caters specifically to those with commercial insurance and aims to make Orenitram more accessible by offering a substantial benefit of up to $5,000 per month.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$60000 annual maximum benefit
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 pay as little as a $0 copay for each initial and subsequent prescription(s) each month
•Maximum benefit is $5,000 in any 30day period
•Card can be printed for immediate use following online enrollment & eligibility
•For assistance or additional information, call 8778648437
•For any questions regarding Change HealthCare online processing, please call the Help Desk at 18004334893
Enrollment Forms
Enrollment Form