Copay Assistance Program
INSUPPORT® offers a Copay Assistance Program designed to help eligible patients with the out-of-pocket costs for PERSERIS. You may work with your healthcare provider who may determine your eligibility for the Program, and enroll you if eligible, during an in-office appointment.
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 Information
If you do not have insurance coverage for PERSERIS, INSUPPORT® can help you learn about other potential coverage resources that you may qualify for using the INSUPPORT® Patient Enrollment Form. If applicable, you may receive this information as part of a request for benefit coverage information for your current or new site of care. If INSUPPORT® identifies any potential alternate sources of funding based on your enrollment information, INSUPPORT® can provide you with the contact information for these sources so that you can obtain eligibility information directly from them, if desired. Please note that other sources of funding not identified by INSUPPORT® may be available.
Need more information?
Contact INSUPPORT® at 1‑844‑INSPPRT (1‑844‑467‑7778)