Ipsen Cares Co-Pay Assistance Program: Somatuline Depot - Non-covered benefit

Not Funded

About

The Ipsen Cares Co-Pay Assistance Program: Somatuline Depot - Non-covered benefit offers eligible patients significant savings on out-of-pocket expenses for Somatuline Depot. By enrolling in the Ipsen Cares program, patients who meet the criteria can reduce their financial burden under a plan designed to support those with eligible private insurance plans.

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