CoverOne Patient Assistance Program: Tepmetko

Funded

About

The CoverOne Patient Assistance Program: Tepmetko provides eligible U.S. residents with the opportunity to access Tepmetko medication at no charge. Designed for patients with limited or no prescription insurance coverage, this program ensures that necessary treatments are available to individuals who meet specific eligibility requirements. The CoverOne Patient Assistance Program: Tepmetko emphasizes patient support by offering comprehensive guidance through the application process and ensuring that healthcare providers are seamlessly involved.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients may receive TEPMETKO at no charge

•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