Padcev Copay Assistance Program

Funded

About

The Padcev Copay Assistance Program offers an affordable solution for patients prescribed Padcev, enabling them to pay as little as $5 per dose. This program facilitates access to Padcev by reducing the financial barrier, ensuring that eligible patients in the United States receive necessary treatment seamlessly. The Padcev Copay Assistance Program requires enrollment via healthcare providers, ensuring a streamlined approach to accessing one year of benefits.

Insurance requirements: Commercially insured

As low as: $5 per fill

Enrollment Forms

Enrollment Form

Benefits

•$25000 annual maximum benefit

•12 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

•Patients may pay as little as $5 per dose

•HCP must complete enrollment form and fax to PADCEV Support Solutions at 18777476843 or enroll via the Prescriber Portal at PADCEVSupportSolutions.com

•Patient will be enrolled in the Program for a 12month period

•Contact 18884020627 MondayFriday 8:30 AM 8:00 PM EST

Enrollment Forms

Enrollment Form