Remodulin Co-Pay Assistance Card

Funded

About

The Remodulin Co-Pay Assistance Card offers an exceptional benefit for patients prescribed Remodulin, significantly reducing out-of-pocket expenses. With potential savings of up to $8,000 annually, eligible commercially insured patients can pay as little as $0.00 per prescription. The Remodulin Co-Pay Assistance Card is designed to make treatment more affordable, encouraging better adherence and smoother access to Remodulin treatment.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$8000 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 commercially insured patients may pay as little as a $0.00 copay for each prescription

•Maximum benefit of up to $8,000 per year

•Patients can download card for immediate use following online enrollment & eligibility questions

•For assistance or additional information, call 8778648437

•For any questions regarding Change HealthCare online processing, please call the Help Desk at 18004334893

Enrollment Forms

Enrollment Form