Patients can start the process by registering with the Patient Services Portal. If the patient does not have insurance or does not otherwise qualify for the Savings Offer for AJOVY, there are other financial assistance programs available through Shared Solutions® for which the patient may qualify. When you start a patient on AJOVY, please be sure that you provide your patients with the Savings Offer to help ensure that they receive this offer. Employers and employer groups may also offer additional benefit designs, which may be different than described.FAQ > Copay card for AJOVY Copay card for AJOVYĮligible commercially insured patients can use the Savings Offer for AJOVY, which may cost as little as $5 for each Monthly OR each Quarterly prescription.* † Actual benefits are determined by each plan administrator in accordance with its respective policy and procedures. This information is not a guarantee of coverage or payment (partial or full). “Coverage” includes all statuses at or equivalent to Preferred, Covered, Specialty, or Generic for the preventive treatment of migraine. Please contact the plan or state for the most current information. Source: Managed Markets Insight & Technology (MMIT), LLC as of and is subject to change without notice. 3 Does not take into consideration any restrictions set forth by individual plans. †Best-in-class commercial access indicates the subcutaneous CGRP antibody injection on prescription drug plans with pharmacy benefit coverage for the most lives at or equivalent to Preferred, Covered, Specialty, or Generic on all commercial plans for the preventive treatment of migraine. Source: IQVIA database as of and is subject to change without notice. *Based on total prescriptions of subcutaneous calcitonin gene-related peptide (CGRP) antibody injections written after. †As a reminder, HIPAA is the Health Insurance Portability and Accountability Act that provides data privacy and security to protect your health information.Įmgality is the #1 prescribed CGRP antibody injection for preventive treatment of migraine * AND has best-in-class commercial access. Subject to additional terms and conditions, which can be found
Offer void where prohibited by law and subject to change or discontinue without notice. This offer is invalid for patients without commercial drug insurance or whose prescription claims for Emgality are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE ®/CHAMPUS, or any state patient or pharmaceutical assistance program.
Patient is responsible for any applicable taxes, fees, or amounts exceeding monthly or annual caps. Participation in the program requires a valid patient HIPAA authorization. Monthly and annual caps are set at Lilly’s absolute discretion and may be changed by Lilly with or without notice. Offer subject to a monthly cap and a separate annual cap. Patients that have commercial drug insurance and have coverage for Emgality may be able to pay as little as $0 per fill. Patients that have commercial drug insurance but do not have coverage for Emgality may be able to pay as little as $0 for their first fill of Emgality.
Offer good until for up to 12 months of Emgality. If you do not want to provide HIPAA authorization online, please contact The Emgality Answers Center at 1-833-EMGALITY ( 1-83) to request a savings card. Requesting an Emgality Savings Card shouldn’t take more than a few minutes. We believe that by you taking a little extra time now to provide HIPAA authorization, we can help you pay as little as possible for your Emgality medication. We will need your HIPAA † authorization to work on your behalf to help you pay as little as possible.
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