Agios Pharmaceuticals offers the myAgios Patient Support Services program to help patients with access and financial assistance when prescribed Tibsovo (Table).
The myAgios Patient Support Services program can help your patients with access to Tibsovo through the Commercial $25 Co-Pay Program, Patient Assistance Program, QuickStart Program, and the Coverage Interruption Program.
This program lowers costs for eligible patients to no more than $25 per prescription if their copay exceeds that amount, with a maximum benefit of $25,000 per calendar year. Patients may be eligible if they:
The Patient Assistance Program offers free prescriptions to eligible uninsured or underinsured patients and may apply to patients with commercial or state/government insurance. To be eligible, patients must:
The QuickStart Program provides a free 30-day prescription (allowing for 1 refill, for a total of 60 days) to eligible new patients experiencing coverage delays of 5 or more business days after submission of a completed prior authorization. Patients may be eligible if they:
The Coverage Interruption Program provides a free 30-day prescription (allowing for 2 refills, for a total of 90 days) to eligible new patients experiencing an interruption in coverage. Patients participating in government and state healthcare insurance are not eligible. Patients may be eligible if they:
Click here to enroll your patient in the Commercial $25 Co-Pay Program. To enroll your patient in the Patient Assistance Program, QuickStart Program, or the Coverage Interruption Program, complete the appropriate sections of the myAgios enrollment form and fax to 844-409-1143.
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