Sabril SHAREPlus Copay Assistance Program

Funded

About

The Sabril SHAREPlus Copay Assistance Program offers valuable support to patients using the drug Sabril. This program is designed to help commercially insured patients who have coverage for Sabril, ensuring they pay minimal costs for their prescriptions. The Sabril SHAREPlus Copay Assistance Program makes it easier for patients to maintain their medication regimen with automatic re-enrollment and a straightforward benefit verification process.

Insurance requirements: Commercially insured

As low as: $10 per mo

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients pay at least $10 for a 30day supply. (Maximum benefit limit may apply)

•Physician must fax completed Sabril Prescription Form to (877)7421002 in order to refer patient to program

•Program then verifies benefits and enrolls eligible patients into program immediately

•Patients are automatically reenrolled each year

•Acceptance of card and submission of claims are subject to the LoyaltyScript program: www.mckesson.com/mprstnc

•For pharmacy questions regarding claim transmission, call the Loyalty Script program at 18006577613 (8:00 am8:00 pm ET, Monday through Friday)

Enrollment Forms

Enrollment Form