COPAY ASSISTANCE PROGRAM
INSUPPORT™ offers a Copay Assistance Program designed to help eligible patients with the out-of-pocket costs for PERSERIS.
If you are eligible for the INSUPPORT™ Copay Assistance Program for PERSERIS, you may pay as little as $5 per injection of PERSERIS. Restrictions apply.
The Program benefit is valid for the out-of-pocket cost for PERSERIS only. It is not valid for any other out-of-pocket costs including costs associated with the administration of PERSERIS (for example, office visit or medication administration charges). Please see the program Terms and Conditions.
The INSUPPORT™ Copay Assistance Program is valid ONLY for patients with private insurance who are prescribed PERSERIS for on-label use. Patients with government insurance are not eligible for the Copay Assistance Program, including, but not limited to, Medicare, Medicaid, Medigap, VA, DoD, TRICARE, CHAMPVA or any other federally or state-funded government-assisted program. Other restrictions apply.
ALTERNATE FUNDING RESEARCH
If you do not have insurance coverage for PERSERIS, INSUPPORT™ can help you learn about other potential coverage sources that you may qualify for with Alternative Funding Research. This service is included as part of the benefit investigation for patients enrolled in INSUPPORT™ Full Hub Services or can be requested at any time as a stand-alone service by selecting "Alternate Funding Research" on the INSUPPORT™ Patient Enrollment Form.
You and your healthcare provider must complete the required sections of the form and your healthcare provider will submit the completed Patient Enrollment Form to INSUPPORT™ for you.
Need more information?
Contact INSUPPORT™ at 1‑844‑INSPPRT (1‑844‑467‑7778)