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