Siliq Solutions Instant Savings Program - Covered benefit

Coverage RequiredFunded

About

The Siliq Solutions Instant Savings Program - Covered benefit offers substantial savings for patients using the Siliq drug. Eligible participants can pay as little as $0 per month, with a maximum of $15,000 in benefits annually. This program is specifically designed for those with commercial insurance, making it a valuable resource for patients qualifying for these savings while using Siliq.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Benefits

•$15000 annual maximum benefit

•13 maximum fills per year

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: Yes

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible commercially insured/covered patients pay as little as $0 per month, subject to a $15,000 maximum benefit for the calendar year from the patient’s first eligible date of program participation

Enrollment Forms

Enrollment Form

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Other Tools for Siliq

Get prior authorization forms

Get patient education materials