Quzyttir Co-pay Program

Funded

About

The Quzyttir Co-pay Program provides significant financial support for patients using Quzyttir by minimizing their prescription costs. This program benefits eligible commercially insured patients, allowing them to pay as little as $0 per prescription with up to $300 savings per fill. With the Quzyttir Co-pay Program, patients can access Quzyttir affordably, thanks to patient rebates and flexible claim options.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$3600 annual maximum benefit

•12 maximum fills per year

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may pay as little as $0 per prescription with a maximum savings of $300 per fill

•Quzyttir savings program payments are provided as patient rebates

•Card carries a maximum of $300 per claim and a maximum of 12 claims per year

•Program allows a 60day lookback prior to enrollment to give patients time to understand their copay obligations

•Patients can get reimbursed by submitting proof of payment and a simple 1page form

•Call 8667899884 (MondayFriday, 9:00 AM6:00 PM EST) for more information

Enrollment Forms

Enrollment Form