J&J With Me Savings Program: Lazcluze & Rybrevant
Funded
About
The J&J With Me Savings Program: Lazcluze & Rybrevant offers significant financial benefits for eligible patients using the Rybrevant and Lazcluze drugs. By participating, patients may reduce their prescription and infusion costs to as low as $0, subject to certain conditions. This program is tailored for individuals with commercial or private insurance and is a valuable resource for those prescribed these drugs for FDA-approved indications.
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 patients may pay as little as $0 per infusion and prescription fill
•Program does not cover the cost to give patients their infusion
•Maximum saving limit applies; patient outofpocket expense may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs
•For assistance or additional information, call 8335659631, MondayFriday 8:00am to 8:00pm ET
•Pharmacists: call 8776626633, MondaySunday, 8am12am ET
•Patient can fax completed rebate form on 8335120489 or can mail on J&J withMe Savings Program, 2250 Perimeter Park Drive, Suite 300 Morrisville, NC 27560
Enrollment Forms
Enrollment Form