Ipsen Cares Co-Pay Assistance Program: Somatuline Depot

Funded

About

The Ipsen Cares Co-Pay Assistance Program: Somatuline Depot offers substantial savings on out-of-pocket costs for the drug Somatuline Depot. This program is specifically designed for eligible patients with private insurance, aiming to ease the financial burden of treatment through significant copay assistance, making it more accessible to those in need.

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: Yes

Program Details

•Eligible commercially insured patients may be able to save on outofpocket Ipsen medication costs

•An annual calendar year maximum copay benefit applies

•Program resets every January 1st

•Patient and HCP may enroll online, or submit completed enrollment form via fax to 8885252416

•For assistance or additional information, call 8664355677, 8:00 am to 8:00 pm ET, Monday Friday

•Reimbursement requests must be submitted within 180 days of treatment date

Enrollment Forms

Enrollment Form