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Program Offering and Eligibility

The HEMLIBRA Co-pay Program may help eligible commercially insured patients who have been prescribed HEMLIBRA with their medicine co-pays.

Program offering

Eligible commercially insured patients can save up to $15,000 per calendar year in their HEMLIBRA medicine costs. They pay as little as $0 per co-pay.

Patients may owe more than $0 depending on how the health insurance plan applies manufacturer co-pay assistance to out-of-pocket costs.

Eligibility

Patients are eligible if they:
  • Have been prescribed HEMLIBRA for an FDA-approved indication
  • Are 18 years of age or older, or have a caregiver or have a legally authorized person to manage the patient's co-pay assistance
  • Have commercial (private or non-governmental) insurance.* This includes plans available through state and federal health insurance exchanges
  • Reside and receive treatment in the United States or U.S. Territories
  • Are not receiving assistance through the Genentech Patient Foundation or any other charitable organization for the same expenses covered by the program
  • Are not a government beneficiary and/or participant in a federal or state-funded health insurance program (e.g., Medicare, Medicare Advantage, Medigap, Medicaid, VA, DoD, TRICARE)

 

*Commercial insurance includes plans you receive from your job or plans from the Health Insurance Marketplace. Government programs like Medicare and Medicaid are not commercial insurance.

If a patient is not eligible for the HEMLIBRA Co-pay Program, there may be other options for co-pay assistance. Call (866) 436-5427 or visit HEMLIBRA.com/access to learn more.