![]() If a patient’s commercial insurance plan imposesĭifferent or additional requirements on patients who receive Repatha ®Ĭopay Card benefits, Amgen has the right to reduce or eliminate thoseīenefits. Monthly Benefit, the Maximum Annual Program Benefit and/or Patient Total The Repatha ® Copay Card provides support up to the Maximum Offer is subject to change or discontinuation without notice. ![]() ![]() That the Maximum Monthly Benefit will not apply to the first three (3)įills of the Repatha ® Copay Card for Repatha ® in any The program provides assistance up to a Maximum Monthly Benefit except PatientsĪre responsible for all amounts that exceed these limits. Amgen will pay the remaining eligible out-of-pocketĬosts on behalf of the patient up to a Maximum Monthly Benefit, a MaximumĪnnual Program Benefit and/or the Patient Total Program Benefit. Out-of-pocket costs include copayment, co-insurance, and deductible Who meets eligibility criteria may pay as little as a $5 Copay per monthįor their Repatha ® monthly out-of-pocket costs. With the Repatha ® Copay Card, a commercially insured patient Not valid for cash-paying patients or where prohibited by law. Part by Medicare, Medicaid, or any other federal or state programs. Patients whose Repatha ® prescription is paid for in whole or in The Repatha ® Copay Card is open to patients with commercial Substitute for reviewing the Terms and Conditions in their entirety. (evolocumab) Copay Card Terms and Conditions. It is important that every patient read and understand the full Repatha ® REPATHA COPAY CARD FULL TERMS & CONDITIONS SUMMARY OF TERMS AND CONDITIONS *Terms and conditions and program maximums apply Once you receive your unique copay card information via a confirmation message or email, you can use this information every time you fill your Repatha ® prescription up to program maximums. You are not eligible if you are enrolled in any government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, the Retiree Drug Subsidy program, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE ®. Eligible commercially insured patients may pay $5 per month* with the Repatha ® Copay Card. These costs include copayments, co-insurance, and prescription deductibles, subject to plan design. If you have commercial or private prescription insurance through your employer, your spouse’s employer, or through a private insurance carrier, the Repatha ® Copay Card reduces your out-of-pocket costs for Repatha ® if you’re eligible. Whether you’re first starting or have already been taking Repatha ®, you may be wondering “How can I reduce my out-of-pocket cost?” For eligible commercially insured patients, the Repatha ® Copay Card may help you get Repatha ® for as little as $5 month *. Those phases are 1) Deductible, 2) Initial coverage, 3) Coverage gap, Medicare Part D drugĬoverage is divided into four phases, each with a different cost-sharing amount. ‡Your out-of-pocket costs can vary throughout the year depending on which phase of the Part D benefit you are currently in. *Based on IQVIA claims data from 01/2021 through 10/2021. ![]() You can also call 1-844-REPATHA and speak with a Repatha Ready ® Which phase of the Part D benefit you are currently in. If you don’t qualify for Low Income Subsidy, your out-of-pocket costs will vary based on If you are unsure whether you qualify for Extra Help and would like more information, ![]() If you have Medicare Part D coverage and are eligible for Part D Low Income Subsidy, youĬan expect to pay less than $10 per month. 72% of Medicare prescriptions for Repatha ® patients cost less than $50 per month. ![]()
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