Affordability options may be available for FASLODEX
FASLODEX Co-pay Savings Program
The FASLODEX Co-pay Savings Program helps assist eligible, commercially insured patients with out-of-pocket costs.
Independent Patient Assistance Foundations
Assistance may be available through independent foundations such as those listed below. Foundations can provide a variety of assistance types: co-pay, transportation, premium, patient education, etc.
Who can apply?
- Patients who are covered by commercial insurance and their insurance does not cover the full cost of their prescription
- Residents of the United States or Puerto Rico
- Patients are ineligible if prescriptions are paid by any State or Federally funded programs, including but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE
- Patients with a valid prescription to accompany the FASLODEX Co-pay Savings Program offer
What to know
What happens once an eligible patient is enrolled in the FASLODEX Co-pay Savings Program(s)?
A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy/practice or by calling an Access 360 representative. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for FASLODEX. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum.
What are the specific costs associated with the FASLODEX Co-pay Savings Program?
Patient pays $0 per dose, program pays remaining out-of-pocket costs up to a maximum of $6,000 per year.
What does the FASLODEX Co-pay Savings Program cover?
The FASLODEX Co-pay Savings Program covers the cost of the drug, but does not cover costs for office visits or any other associated costs.
Are there income requirements to participate in the program?
No. There are no income requirements to participate in the program.
Where can I find additional information?
For additional information, please visit www.azpatientsupport.com or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360).
A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy/practice or by calling an Access 360 representative. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for FASLODEX. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum.
Patient pays $0 per dose, program pays remaining out-of-pocket costs up to a maximum of $6,000 per year.
The FASLODEX Co-pay Savings Program covers the cost of the drug, but does not cover costs for office visits or any other associated costs.
No. There are no income requirements to participate in the program.
For additional information, please visit www.azpatientsupport.com or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360).
