Siliq Solutions Instant Savings Program - Non-covered benefit

Funded

About

The Siliq Solutions Instant Savings Program - Non-covered benefit is designed to help patients access Siliq by providing significant savings. This program is an excellent option for those with commercial or private insurance who are prescribed Siliq for an FDA-approved indication. With the Siliq Solutions Instant Savings Program, eligible patients can pay as little as $50 per month, making access to this vital drug more affordable.

Insurance requirements: Commercially insured, Underinsured

As low as: $50 per mo

Enrollment Forms

Enrollment Form

Benefits

•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: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible commercially insured/not covered patients, or if coverage is delayed or denied, the patient may pay as little as $50 per month for SILIQ, until coverage is approved or up to 24 months from program initiation

Enrollment Forms

Enrollment Form

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Other Tools for Siliq

Get prior authorization forms

Get patient education materials