Viatris Advocate Co-Pay Assistance Program: Yupelri

Funded

About

The Viatris Advocate Co-Pay Assistance Program: Yupelri offers significant financial benefits for patients using the drug Yupelri. This program is designed to help eligible patients, who have commercial insurance, pay as little as $0 for a 30-day supply of Yupelri. By leveraging the Savings Card, patients can significantly reduce out-of-pocket expenses up to a maximum of $550 per prescription, with an annual cap of $6,600. The Viatris Advocate Co-Pay Assistance Program: Yupelri makes Yupelri more accessible to patients and helps ease the financial burden of treatment.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Benefits

•12 maximum fills per year

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

•Pay as little as $0 for 30 days of therapy

•Savings Card can be used to reduce the amount of their outofpocket expense up to a maximum of $550 per 30day prescription

•Offer can be used up to a total of 12 times per calendar year while this program remains in effect, with a benefit cap of $6,600 per calendar year

•Valid prescription with Prescriber ID# required

•Pharmacies: input this Savings Card information as secondary coverage and transmit using the COB segment of the NCPDP transaction; applicable patient savings will be displayed in the transaction response

•For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for YUPELRI Savings Card program at 8662559018 (8:00 AM8:00 PM EST, MondayFriday)

Enrollment Forms

Enrollment Form