1/15/2024 0 Comments Janumet copay cardThis assistance offer is not health insurance. The actual application and use of the benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annual basis, depending on each individual patient’s plan of insurance and other prescription drug costs. Subject to all other terms and conditions, the maximum monthly benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $15.00 per month during the calendar year for patients receiving SYNTHROID every month or $25.00 per month during the calendar year for patients receiving SYNTHROID every 3 months. Restrictions, including monthly maximums, may apply. Offer subject to change or discontinuation without notice. Patients may not seek reimbursement for value received from the SYNTHROID Co-pay Savings Program from any third-party payers. Patients residing in or receiving treatment in certain states may not be eligible. If at any time a patient begins receiving drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the SYNTHROID Co-pay Savings Card and patient must call 1-866- 627-4980 to stop participation. Co-pay assistance program is not available to patients receiving reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. Eligibility: Available to patients with commercial insurance coverage for SYNTHROID who meet eligibility criteria. This benefit covers SYNTHROID® (levothyroxine sodium). Co-pay support is not available to all US patients. ![]() *Based on claims processed from calendar year 2020. AbbVie does not guarantee that the use of any information provided here will result in coverage.Įligible health plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this AbbVie material. This material is not intended to provide reimbursement or legal advice. ![]() Please be aware that coverage requirements vary by payer and change over time, so please consult with each payer directly for the most current coverage and reimbursement policies and determination processes. The health plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this material.ĪbbVie is committed to helping appropriate patients obtain access to SYNTHROID by providing reimbursement and access information. Please consult with payers directly for the most current reimbursement policies. § Health plan blinded for contractual reasons.Ĭoverage requirement and benefit designs vary by payer and may change over time. Step edits, prior authorization, and other restrictions apply. ‡ Formulary definitions: Covered is defined as patient has access and plan coverage of product at any formulary tier and product is not NDC blocked.
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