Qutenza Patient Cost Savings Program

Funded

About

The Qutenza Patient Cost Savings Program offers significant benefits for adult patients prescribed Qutenza, helping them to potentially pay as little as $0 for their prescription. This program is designed specifically for those under commercial insurance coverage, enhancing access to Qutenza and ensuring affordability for those residing in the US, Puerto Rico, or US territories. Utilizing the Qutenza Patient Cost Savings Program not only makes treatment more affordable but also supports healthcare professionals with streamlined enrollment options via multiple convenient channels.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$5000 annual maximum benefit

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 patients may pay as little as $0 for their prescription

•Limited to 1 per person

•Copay savings and maximum benefit may vary based on patient's insurance provider

•HCP enrollment only; applications accepted only by mail, fax, or via the online portal: https://myqutenzacoverage.com/

•For questions regarding the QUTENZA Patient Cost Savings Program, please contact the QUTENZA Patient Support Services and Customer Service Center at 8332953579

Enrollment Forms

Enrollment Form