MS LifeLines Co-Pay Assistance Program: Rebif and Mavenclad

Funded

About

The MS LifeLines Co-Pay Assistance Program: Rebif and Mavenclad offers significant financial support for eligible patients using Rebif, Rebif Rebidose, or Mavenclad. Patients may benefit from reduced prescription costs, sometimes as low as $0 per prescription, enhancing affordability and access. The program is specifically designed for patients with private insurance and provides an easy enrollment process with ongoing support through copay cards and customer service assistance.

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 per prescription

•Program benefit maximums may apply

•Patient may enroll online and receive copay information after confirming email address

•Approved patients will receive an email with copay card information and instructions

•Call 18774473243 Monday through Friday 8 am to 8 pm ET, Saturday 9 am to 5 pm ET

•For processing questions, please call 18555025803 from 8:00 AM 8:00 PM ET, Monday through Friday

Enrollment Forms

Enrollment Form

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Max Saving: $10000/year*

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Max Saving: $7500/year*

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