Program Applications and Forms. Patient pays the first 50 for each month Novartis Pharmaceutical Corporation pays up to a maximum of 1200 per prescription per month for any co-pay remaining.
Afinitor Everolimus Tablets Treatment Cost
Most commercially insured patients pay 0 a month for Afinitor with the Afinitor Co-Pay Card.
Afinitor copay card. Eligible patients can receive a free 7-day supply of AFINITOR everolimus Tablets if eligible. HealthWell Foundation Copay Program This is a copay assistance program. Call 18889234648 to determine if you are eligible.
Please answer the following eligibility questions before proceeding to enroll in or activate the Bayer Savings Card. Please check with your healthcare professional or insurer to confirm eligibility. Please follow the instructions on the form to be considered for reimbursement.
If a pharmacy does not accept the savings card you can file a claim for reimbursement. Copay assistance and support is available through the Afinitor Novartis Universal Co-Pay Card. Please make a selection.
See how AFINITOR works. Click here to download a rebate form. PO Box 489 Buckeystown MD 21717.
Manufacturer coupons may not be eligible in all states. What if Youre Not Eligible for the Universal Co-pay Card. Through NiceRx you may be able to get Afinitor for only 49 per month Complete a free online enrollment application to find out if youre eligible to pay only 49 per month for your Afinitor medication.
Commercially insured patients pay 0 per month. You currently have commercial. The AFINITOR 14-Day Free Trial helps eligible patients start therapy quickly.
Patient is responsible for any costs once the limit is reached in a calendar year. In addition if insurance is required to use the coupon generally only commercial or private insurance will be accepted. Yes No This field is required.
For additional information contact the program at 877-577-7756. Yes No This field is required. The Novartis Oncology Universal Co-pay Program includes the co-pay card payment card or rebate with a combined annual limit of 15000.
Please make a selection. Free Trial The AFINITOR DISPERZ 7-Day Free Trial helps eligible patients start therapy quickly. English Others By Translation Service.
Please call 1-888-4-AFINITOR 888-423-4648 for more information. You may be eligible for immediate co-pay savings on your next prescription. This offer is only available to patients with private insurance.
For patients with commercial or private insurance plans we offer a co-pay card to help patients cover some of their out-of-pocket expenses. Eligible patients on commercialprivate insurance plans may pay as little as a 5 co-pay per prescription filled program covers the. Novartis Pharmaceuticals offers a coupon for Afinitor We do our best to provide the most up to date information on our site.
This one-time trial is available to all patients. A 14-day supply is shipped directly to a patients home or another convenient location. You are the policy holder of your health insurance is over 18 years of age.
Afinitor Disperz Novartis Universal Co-Pay Card. Afinitor Patient assistance program Is your Afinitor medication too expensive. Eligible commercially insured patients may pay no more than 25 for each prescription with a maximum savings of 15000 per calendar year.
FREE TRIAL PROGRAM FOR ELIGIBLE PATIENTS. With the Free Trial and Access Program you can receive a free supply of AFINITOR everolimus Tablets for a US Food and. This card can be used only once within any 28-day period.
AFINITOR may affect fertility in females and males and may affect your ability to become pregnant if you are female or your ability to father a child if you are male. Tell your health care provider if you have any side effect that bothers you or does not go away. If you dont currently have insurance or are unsure of your coverage we are here to help.
Free Trial and Access Program Free 14-day trial. Talk to your health care provider if this is a concern for you. About the Co-pay Card Novartis Oncology offers access to financial assistance for almost all Novartis Oncology products.
These are not all the possible side effects of AFINITOR. For eligible patients the co-pay for your Afinitor prescription will be 0 for each prescription. Novartis will pay the remainder of your co-pay for Afinitor up to 15000 per calendar year.
A generic version of Afinitor is available under the name of everolimus. If you need help filling it out contact OPUS Health at 1-800-364-4767 1-800. Valid for up to 24 uses through expiration.
AFINITOR is an mTOR. The cost of 25mg 5mg and 75mg everolimus tablets are 424 each or 11883 for a 28-day supply. You are a United States Resident.
DOWNLOAD THE SAVINGS CARD. The Card is not valid for California residents whose prescriptions are covered in whole or in part by third-party insurance a healthcare service plan or other health coverage where a lower cost generic is available unless applicable step therapy or prior authorization requirements have been completed. Dont forget to include your original pharmacy receipt along with the completed form.
