Amgen By Your Side Copay Assistance Program: Uplizna
Funded
About
The Amgen By Your Side Copay Assistance Program: Uplizna helps patients access Uplizna with ease. The program is designed to minimize the cost of the drug product Uplizna for eligible individuals, ensuring affordability with potential benefits like a $0 co-pay for those with commercial insurance. By enrolling in the Amgen By Your Side Copay Assistance Program: Uplizna, patients can navigate their treatment journey with more financial confidence.
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: No
Program Details
•Patients with commercial insurance may be eligible for a $0 copay
•HCP should fax completed enrollment form to 8333298477 or emailed to UPLIZNAABYS@amgen.com
•Enrollment form may also be submitted online
•For assistance or additional information, call 8338428477
Enrollment Forms
Enrollment Form