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Commercially Insured Patients
CUTAQUIG Co-Pay information
The CUTAQUIG Co-Pay Program provides eligible, commercially insured patients assistance of up to $12,500 per calendar year* for claims received by the program. Eligible enrolled patients may pay as little as $0 per treatment. No membership fees. Federal and state health care beneficiaries are not eligible. Private insurance only. The Co-Pay Program covers only drug costs, not procedures, administration fees, or office visits.
PANZYGA Co-Pay information
The PANZYGA Co-Pay Program provides eligible, commercially insured patients assistance of up to $12,500 per calendar year† for claims received by the program. Eligible enrolled patients may pay as little as $0 per treatment. No membership fees. Federal and state healthcare beneficiaries are not eligible. Private insurance only. The Co-Pay Program covers only drug costs, not procedures, administration fees, or office visits.
OCTAGAM Co-Pay Information
The OCTAGAM Co-Pay Program provides eligible, commercially insured patients assistance of up to $12,500 per calendar year‡ for claims received by the program. Eligible enrolled patients may pay as little as $0 per treatment. No membership fees.
Federal and state healthcare beneficiaries are not eligible. Private insurance only. The Co-Pay Program covers only drug costs, not procedures, administration fees, or office visits.
‡Please see full terms and conditions.
Download and complete the Co-Pay Claim Form
and take it to your healthcare provider
Co-Pay Claim Form
Download
