The UDENYCA Solutions
Co-Pay Savings Program
Co-Pay Savings Program
May reduce out-of-pocket costs related to UDENYCA for eligible patients with commercial insurance*
Eligible out-of-pocket costs may include:
- Co-Pay
- Coinsurance
- Deductibles
For more information about the program, call 1-844-483-3692
UDENCYA CO-PAY SAVINGS SUPPORT PROGRAM TERMS AND CONDITIONS
To receive Co-Pay assistance for drug or administration co-pay costs, the provider, patient, or caregiver must enroll the eligible individual within 180 days after the date of service for which the subsidy is sought.
Participating patients, pharmacies, physician offices, and hospitals may use Coherus’s patient services web portal or fax completed enrollment forms to 1-877-226-6370 to enroll patients.
Under the UDENYCA Co-Pay Savings Program, if a patient incurs a co-pay obligation for the cost of UDENYCA, and meets all eligibility requirements, Coherus may provide co-pay assistance for up to $0 out-of-pocket for each dose.
The program benefits will reset every January 1st. Re-enrollment in the program is required at regular intervals. Patients may participate in the program as long as the patient re-enrolls as required by Coherus BioSciences and continues to meet all of the eligibility requirements for the program during participation in the program. After reaching the maximum benefit for either program, the patient will be responsible for all remaining out-of-pocket expenses. The amount of the program’s benefits cannot exceed the patient’s out-of-pocket expenses for the cost of UDENYCA.
The program is not valid if the costs are eligible to be reimbursed in their entirety by private insurance plans or other programs. The program is not valid for patients receiving assistance from any other third party, including charitable organizations, if assistance is for the same expenses covered by the program. This program is not health insurance or a benefit plan.
All participants are responsible for reporting the receipt of all program benefits as required by any insurer or by law. The program is only valid in the United States and US Territories and otherwise void where prohibited by law. Program benefits may not be sold, purchased, traded, or offered for sale.
The program does not obligate use of any specific product or provider. Healthcare providers may not advertise or otherwise use the programs as a means of promoting their services or Coherus products to patients. Coherus reserves the right to rescind, revoke, or amend the program without notice at any time.
Patient Eligibility Criteria
- Be prescribed UDENYCA for a medically appropriate purpose consistent with its FDA-approved labeling within 180 days of program enrollment
- Have commercial (private or non-governmental) health insurance that covers the medication costs of UDENYCA
- Be a US resident
- Not covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Veterans Affairs, Department of Defense, or TRICARE
- Not seek reimbursement from any third-party, including payers, charitable foundations, flexible spending account (FSAs), or healthcare savings accounts (HSAs) for all or any part of the benefit received by Coherus through this program
- Other restrictions apply, see full Terms & Conditions above
- It is not valid for cash paying patients or where prohibited by law
- UDENYCA Co-Pay Savings Program is subject to change or discontinuation without notice. This is not health insurance.
Field Reimbursement Managers (FRMs) can help you streamline patient access to UDENYCA
To contact your FRM, please contact your sales representative or call 1-844-483-3692
Find key coding and coverage details that facilitate appropriate billing and reimbursement for UDENYCA® therapy in the Reimbursement and Billing Guide.
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Find key coding and coverage details that facilitate appropriate billing and reimbursement for UDENYCA therapy in the Coding Reference Guide.
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