Synagis Connect

Not Funded

About

Synagis Connect offers significant financial assistance to eligible patients needing the drug Synagis. With Synagis Connect, patients can benefit from reduced copayments, potentially paying as little as $0 per dose, and receiving up to $6000 in assistance per calendar year. This program is designed to alleviate the financial burden associated with Synagis treatment, making healthcare more accessible to those with commercial insurance coverage.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Benefits

•$6000 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may pay as little as $0 per dose

•Maximum assistance of up to $6000 per calendar year to assist with outofpocket costs for SYNAGIS

•Synagis Copay Program covers the cost of the drug only, it does not cover costs for administration of Synagis, office visits, or any other associated costs

•For any questions call 18337962447, 8:00am8:00pm EST, MondayFriday

Enrollment Forms

Enrollment Form