Qutenza Patient Cost Savings Program - Non-covered benefit
Funded
About
The Qutenza Patient Cost Savings Program - Non-covered benefit offers significant financial support for adult patients prescribed the drug product Qutenza. This program aims to reduce the financial burden on eligible individuals by providing a savings plan that aligns with US product labeling for Qutenza. Participants must have a commercial insurance plan covering Qutenza while residing within the US, Puerto Rico, or US territories. The program demonstrates a commitment to enhancing patient access to Qutenza through a streamlined application process available via mail, fax, or online portal.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•1 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
•Limited to 1 per person
•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