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.Learn More
The offer is valid for 120 days from the date of service. Any claims or transactions made after 120 days from the date of service will not be valid.
A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy 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 Koselugo. The pharmacy will use the Co-pay Savings Program to cover the balance, up to the program maximum.
The patient pays $0 per 30-day supply, program pays remaining out-of-pocket costs up to a maximum of $26,000 per year.
The Koselugo 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.
These foundations are not associated with AstraZeneca; specific details and eligibility requirements can be found directly at the foundations’ websites.Find a foundation