Vyvgart Co-pay Program
Funded
About
The Vyvgart Co-pay Program offers significant financial assistance for eligible patients prescribed Vyvgart or Vyvgart Hytrulo. This program allows patients to pay as little as $0 per injection/infusion, specifically aiding with out-of-pocket costs associated with the medication. It facilitates ease of access for those residing in the U.S., including territories, requiring commercial insurance coverage.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients may pay as little as $0 per injection of VYVGART with a maximum benefit per calendar year of $25,000
•To enroll, fax completed form to My VYVGART Path at 1833MYVPATH (18336987284)
•The Copay Program provides financial support to be applied to a patient’s outofpocket costs for VYVGART and the associated infusion/administration of VYVGART (e.g., product administration costs)
•The Program does not cover the costs of the physician office visit/evaluation, blood work or other testing or transportation
•Patients residing in Massachusetts and Rhode Island are eligible for financial assistance with medication costs for VYVGART, but are ineligible for financial assistance related to infusion costs
•Patients must apply for eligibility and financial assistance from the Copay Program each calendar year
•If seeking assistance for more than one calendar year, patients will be required to verify eligibility each calendar year
•For more information call 18336972841, Monday to Friday 8 AM to 8 PM ET
Enrollment Forms
Enrollment Form