Oxlumo Copay Program

Funded

About

The Oxlumo Copay Program is designed to provide substantial financial assistance to eligible patients by covering out-of-pocket expenses associated with the drug Oxlumo. This program aims to ensure that eligible commercial insured patients pay as little as $0 for their medication. The Oxlumo Copay Program is an exceptional support initiative for those who qualify, enhancing access to essential treatment.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

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 commercial insured patients may pay as little as $0 outofpocket for medication

•HCP can enroll patients by electronic start form, print and fax completed start form to 18332562747 or DocuSign eSignature via email

•For more information about Alnylam Assist, call 18332562748 Monday Friday 8am 6pm ET

Enrollment Forms

Enrollment Form