Vanflyta Savings Program

Funded

About

The Vanflyta Savings Program is designed to assist patients who have commercial insurance in managing the costs of their Vanflyta prescriptions. Eligible patients may significantly reduce their out-of-pocket expenses to as little as $0 per prescription, with a maximum annual benefit of $26,000. The Vanflyta Savings Program ensures affordability for patients with commercial insurance and excludes those with state or federally funded healthcare coverage.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$26000 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: Yes

Program Details

•Qualifying patients may pay as little as $0 per prescription of VANFLYTA, with a maximum benefit of $26,000 per calendar year

•The patient must have commercial insurance coverage

•There are no income requirements for eligibility

•Eligible patients will be automatically reenrolled in the program on an annual basis contingent upon the patient’s ability to meet all requirements set forth by the program

•Patients can enroll up to 30 days after the first VANFLYTA treatment and utilize a retroactive enrollment period for assistance on dates of service that took place prior to enrollment

•Only valid in the United States at participating pharmacies or healthcare providers

•Patients can enroll on this website or by calling Biologics at 18008504306 with any questions about eligibility and assistance with the enrollment process

Enrollment Forms

Enrollment Form