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