Qutenza Treatment Cost Savings Program

Funded

About

The Qutenza Treatment Cost Savings Program offers significant financial benefits for patients prescribed Qutenza. This program is designed to help eligible patients who reside in the US, Puerto Rico, or US territories minimize their prescription costs, potentially paying as little as $0. The Qutenza Treatment Cost Savings Program ensures that patients with commercial insurance can access their medication affordably, enhancing accessibility to Qutenza's therapeutic benefits.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$1500 annual maximum benefit

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 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