QIVIGY® copay program
Copay assistance is available for eligible patients on QIVIGY covered under both pharmacy and medical benefits.
Eligible patients can receive up to $10,000 per calendar year to use on out-of-pocket costs for QIVIGY.
The program covers the copay, deductible, and/or co-insurance associated with the cost of QIVIGY only. The program does not cover costs associated with administration or supplies.
COPAY BENEFIT:
- $10,000 per patient per year
- Electronic processing; no patient cards necessary
PROGRAM AND PATIENT ELIGIBILITY GUIDELINES:
- Patients must be commercially insured
- Patients must express a financial need
- Patients’ health plan permits members to participate in copay assistance programs
PROGRAM RESTRICTIONS:
- Not valid for prescriptions eligible for reimbursement by any federal or state healthcare programs, such as Medicare, Medicaid, Medigap, Veterans Affairs, Department of Defense, TRICARE, or any other federal or state-funded programs
Copay and reimbursement support
QIVIGY offers comprehensive reimbursement support
This support includes:
- Patient-specific benefit verifications claims
- Payer coverage and coding research
- Assistance with claims questions and appeal support for denied prior authorizations
