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How your eligible patients may apply for financial assistance for their Thyrogen
The Thyrogen Co-Pay Program
To help make treatment costs and co-pays more affordable, we created the Thyrogen Co-Pay Program. Through the program, financial assistance is available to help eligible*, commercially insured patients receive Thyrogen at:
How Your Eligible Patients may Apply for the Thyrogen Co-Pay program
- If they have commercial insurance, they may be eligible through the Thyrogen Co-Pay Program
- Patients can learn more here: https://www.thyrogen.com/patients
- If your patient qualifies, he or she will receive a Thyrogen Co-Pay Card in the mail. Your patient may use the Thyrogen Co-Pay Card to pay up to $1,000 of out of pocket expenses.
*IMPORTANT NOTICE: The Co-Pay Program does not cover prescriptions eligible to be reimbursed, in whole or in part, by a state or federal health care program, including but not limited to Medicare, Medicare Advantage Plans (Example: FreedomBlue offered through BlueCross Blue Shield), Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE. Patients who are residents of Massachusetts or Rhode Island are not eligible for cost support for injection or infusion administration charges. No claim for reimbursement of any out-of-pocket expenses covered by the Co-Pay Program may be submitted to any third-party payer, whether public or private. The Co-Pay Program is available only in the United States and cannot be combined with any other rebate/coupon, free trial, or similar offer. Co-Pay Program benefits are not transferable. Sanofi reserves the right to rescind, revoke, modify, or amend this program without notice. By participating in the Co-Pay Program, you understand and agree to comply with the terms and conditions set forth above.
The Thyrogen Patient Assistance Program (PAP)
With the Thyrogen Patient Assistance Program, eligible* patients may receive Thyrogen free of charge if they:
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Medically need Thyrogen, but no longer have insurance.
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If their insurance does not cover Thyrogen.
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Download and complete the Thyrogen Patient Assistance Program Application Form.
*Patients will need to meet the eligibility criteria, including household income to qualify. The ThyrogenONE team will research each patient’s situation and determine eligibility. For more information call 1-88-THYROGEN (1-888-497-6436).
Reimbursement FAQ’s from your patients
Your patient’s insurance plan will determine if Thyrogen is covered by major medical or pharmacy benefit or both. Your patients may obtain this information from their insurance plan. Your patient may also call 1-88-THYROGEN (1-888-497-6436) to speak with a dedicated Case Manager.
Your patients may call 1-88-THYROGEN (1-888-497-6436) to determine if they are eligible for the Thyrogen Co-Pay Assistance Program. If they are, they will receive the Thyrogen Co-Pay Card in the mail, which will cover up to $1,000 of their out of pocket (OOP) expenses. Patients may call their insurance company to determine if they have additional OOP above the $1,000 co-pay assistance. If they do, their insurance company will tell them how much it is.
Thyrogen is covered by Medicare Part B when it is administered in the outpatient or doctor's office setting as part of a physician’s service.
Medicaid eligibility and benefit plans vary from state-to-state. Your patient needs to understand the local state’s program’s coverage policy before treatment is initiated. Usually, use of Thyrogen will need to be considered medically necessary to be covered under the Medicaid program. Depending on the state, use of Thyrogen may require prior approval request by the state Medicaid program. If this is the case, you may fill out a prior authorization form stating your patient’s medical necessity. If the state Medicaid office approves the request, your patient will be eligible to receive Thyrogen
Choose how to get Thyrogen® (thyrotropin alfa) for injection for your patients
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Not sure which one to choose? Contact ThyrogenONE® for assistance
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Option 2: Call ThyrogenONE at 1-88-THYROGEN (1-888-497-6436)
Dedicated ThyrogenONE Case Managers can assist you and your patients with the following:
- Benefits Verification
- Information on Ordering
- Information on specialty pharmacy fulfillment
