Vyjuvek Copay Program

Funded

About

The Vyjuvek Copay Program offers substantial financial support for patients prescribed Vyjuvek. Eligible patients can benefit from copay assistance, potentially reducing their prescription costs to as low as $0, with support extending up to $15,000 per year. This program is designed to ease the financial burden for those with private insurance, ensuring that cost is not a barrier to accessing Vyjuvek.

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 commercially insured patients may pay as little as $0 per prescription, up to the maximum copay assistance amount of $15,000 per calendar year

•The Vyjuvek Copay Program applies only to out of pocket costs associated with VYJUVEK and not the cost of related medical services

•HCP and patient must complete form and fax to 18337827852 or 14126433380

•Call 8445579782, 8:30 am to 7:00 pm ET, Monday through Friday for assistance or additional information

Enrollment Forms

Enrollment Form