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How to Use the Program

The HEMLIBRA Co-pay Program may be used in a community practice, hemophilia treatment center, hospital, or specialty pharmacy.

Participating practices, institutions or specialty pharmacies must complete a onetime registration so they may process HEMLIBRA Co-pay Program payments. To register, call (844) HEM-COPAY (844-436-2672).

THE PROVIDER sends the prescription. Either the provider or patient sends the patient's processing information including their group number, RxBIN, PCN and member ID numbers to the hemophilia treatment center (HTC) pharmacy or specialty pharmacy (SP).
THE HTC PHARMACY OR SP collects the patient's co-pay, if any.
THE HTC PHARMACY OR SP uses the group number, RxBIN and PCN to process through the HEMLIBRA Co-pay Program and ships HEMLIBRA to the patient.
THE HEMLIBRA CO-PAY PROGRAM reimburses the HTC pharmacy or SP for the patient's out-of-pocket costs for HEMLIBRA up to the annual program limit.

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We are open from 9 a.m.–8 p.m. ET, Monday through Friday, except for the following holidays:

  • New Year's Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving Holiday (Thursday and Friday)
  • Christmas Holiday

Questions about this program?

Call (844) HEM-COPAY (844-436-2672)
9 a.m.–8 p.m. ET, Monday through Friday (except major holidays)
 
For questions about HEMLIBRA, please call (866) HEMLIBRA (866-436-5427).

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All rights reserved.

Fax (855) HEM-COPAY  (855-436-2672)

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