Deciphera Commercial Copay Program: Qinlock

Funded

About

The Deciphera Commercial Copay Program: Qinlock offers significant benefits to patients prescribed the drug Qinlock. This program allows eligible, commercially insured patients to potentially reduce their copay to as little as $0, making it financially accessible. The Deciphera Commercial Copay Program: Qinlock is designed to assist those with private insurance, excluding those enrolled in state or federally funded programs, and ensures that patients across the US and Puerto Rico can benefit from this offer if they meet the outlined criteria.

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 pay as little as $0 copay

•Copay program is subject to an annual benefit maximum

•HCP must complete and fax enrollment form to 18333274329

•Patients may also be enrolled in the Commercial Copay Program via their specialty pharmacy provider or through Deciphera AccessPoint (https://svc.opushealth.com/DEC/SP)

•For more information call 18334322237 (Monday–Friday 8AM–8PM ET) or email info@decipheraaccesspoint.com

Enrollment Forms

Enrollment Form