Xembify ZERO Copay

Funded

About

The Xembify ZERO Copay program offers significant financial relief for eligible patients by covering Xembify medication costs with a potential $0 copay. This program is designed to support commercially insured patients with their deductibles, copayments, and coinsurance costs under the Xembify medication plan. By participating in the Xembify ZERO Copay program, patients can access vital treatment without financial burdens, enhancing their healthcare experience.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$10000 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 a $0 copay

•Copay assistance program covers deductibles, copayment, and coinsurance medication costs for XEMBIFY

•Available whether the claim is billed under a pharmacy benefit or a medical benefit

•No monthly caps or infusion limits

•HCP and Specialty Pharmacies can enroll patient with their provided consent either by faxing the completed enrollment form to 8773750758 or online at https://xembify.ehipaa.com/

•Call Xembify Connexions team at 8446993624, Monday through Friday 8 AM to 8 PM ET for more information

Enrollment Forms

Enrollment Form