CoverOne Co-pay Assistance Program: Tepmetko
Funded
About
The CoverOne Co-pay Assistance Program: Tepmetko provides significant financial support for eligible patients taking Tepmetko. With this program, patients may pay as little as a $0 co-pay per prescription, up to a maximum of $15,000 per year. This program is designed to benefit patients by easing the financial burden of their Tepmetko prescription and ensuring access to necessary medication.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$15000 annual maximum benefit
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: No
Program Details
•Eligible patients may pay as little as a $0 copay for each prescription of TEPMETKO up to a maximum of $15,000 per calendar year
•Offer is limited to 1 per person
•Patients may enroll online, or have HCP fax completed enrollment form
•HCP and patients must send prescription(s) and complete enrollment form and fax to 18445010062
•For more information patients must call phone: 18446623631, MondayFriday: 8:00 AM8:00 PM ET
Enrollment Forms
Enrollment Form