This includes patients enrolled in Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DoD) programs or TRICARE. Patients are not eligible for this program if they are covered by any federal or state prescription insurance program. Patients may be eligible for this offer if they have commercial insurance and insurance does not cover the full cost of the prescription, or if they are not insured and are responsible for the cost of their prescriptions. Who is eligible to receive the Savings Program Offer for TRELEGY? ELIGIBILITY along with diet alone or together with other cholesterol-lowering medicines in adults with high bloodĬholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygousįamilial hypercholesterolemia ) to reduce low density lipoprotein (LDL) or bad cholesterol.Eligibility Requirements and Restrictions.in adults with cardiovascular disease to reduce the risk of heart attack, stroke, and certain types of heart surgery.Repatha ® is an injectable prescription medicine used: You are encouraged to report negative side effects of prescription drugs to the FDA. Call your healthcare provider for medical advice about side effects. Ask your healthcare provider or pharmacist for more information. These are not all the possible side effects of Repatha ®. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. The most common side effects of Repatha ® include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes) and redness, pain, or bruising at the injection site. Stop taking Repatha ® and call your healthcare provider or seek emergency help right away if you have any of these symptoms: trouble breathing or swallowing, raised bumps (hives), rash or itching, swelling of the face, lips, tongue, throat or arms. Repatha ® can cause serious side effects including serious allergic reactions. What are the possible side effects of Repatha ®? Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take. The single-dose Pushtronex ® system (on-body infusor with prefilled cartridge) is not made with natural rubber latex. The needle covers on the single-dose prefilled syringes and the inside of the needle caps on the single-dose prefilled SureClick ® autoinjectors contain dry natural rubber. *Terms and conditions and program maximums apply.ĭo not use Repatha ® if you are allergic to evolocumab or to any of the ingredients in Repatha ®.īefore you start using Repatha ®, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. Once you receive your unique Co-Pay card information via a confirmation message or email, you can use this information every time you fill your Repatha ® prescription, up to program maximums. You are not eligible if you are enrolled in any government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, the Retiree Drug Subsidy program, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE ®. Eligible commercially insured patients may pay $5 per month* with the Repatha ® Co-Pay Card. These costs include copayments, coinsurance, and prescription deductibles, subject to plan design.

If you have commercial or private prescription insurance through your employer, your spouse’s employer, or through a private insurance carrier, the Repatha ® Co-Pay Card reduces your out-of-pocket costs for Repatha ® if you’re eligible. Whether you’re first starting or have already been taking Repatha ®, you may be wondering “How can I reduce my out-of-pocket cost?” For eligible commercially insured patients, the Repatha ® Co-Pay Card may help you get Repatha ® for as little as $5 a month.*

Breo ellipta copay card