Biogen Copay Program: Tysabri - Covered benefit

Coverage RequiredFunded

About

The Biogen Copay Program: Tysabri - Covered benefit provides substantial financial assistance for patients prescribed Tysabri. This program is designed to significantly reduce out-of-pocket expenses, allowing eligible patients to pay as little as $0 for the administration of Tysabri. The Biogen Copay Program: Tysabri is a valuable resource for those with commercial insurance, ensuring access to necessary treatments without financial burden.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$3250 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: Yes

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may lower their outofpocket costs to as low as $0

•The Tysabri Administration Copay Program only covers costs associated with the administration of TYSABRI. The assistance provided will not exceed $250 per administration or $3,250 per year

•Annual cap on the amount of assistance may vary

•Patient may enroll online and receive their copay card information upon approval

•Call 8004562255 for assistance or additional information

Enrollment Forms

Enrollment Form