Resources


Please check out the follow resources for information about Hemophilia, Patient Advocacy, and Treatment guidelines.

Manufacturers’ Co-Pay Programs

Manufacturer Program Name & Contact Information Limit Total Notes
Aptevo Therapeutics IXINITY Savings Program1-800-494-6489 $12,000

• Must have valid Rx for IXINITY
• Must have commercial insurance
• No monthly limits unless limit total reached
• No income requirements
• Program can be used retroactively up to 12 months.

Bayer Bayer Access Solutions Kogenate FS Co-pay/Co-Insurance Program 1-800-288-8374 $12,000

• Must have a diagnosis of hemophilia A
• Must have private health insurance
• No income requirements
• Must first contact Bayer Access Solutions

Biogen ALPROLIX Co-pay Program1-855-692-5776ELOCTATE Co-pay 1-855-963-5628Program $12,000

• Must have commercial insurance.
• No income requirements or caps.

CSL Behring MySource Cost-Share Program1-800-676-4266 $12,000 for Afstyla, Idelvion, Helixate or Humate

• Must have commercial insurance.
• Only products purchased from SP, HTC and Outpatient Hospital services are eligible.
• Program is not retroactive.
• No financial restrictions apply.

Grifols AlphaNine SD Co-pay card1-844-693-2286 $6,000$500 monthly max)

• Rx is covered up to patient’s annual out-of-pocket maximum.
• No income requirements.
• Annual program enrollment required.
• Must have commercial insurance.
• Must have valid AlphaNine SD prescription.
• Not for inpatient use.

Novo Nordisk Co-pay Assistance Program1-844-668-6732 $12,000

• Must have FDA-approved diagnosis.
• Must have commercial insurance plan.

Octapharma Octapharma Co-pay Program1-800-554-4440 Up to $12,000 for NUWIQ per year.Up to $6,000 for Wilate per year.

• No income requirements.
• Must have commercial insurance.
• Must have Rx for NUWIQ and/or Wilate.

Pfizer Pfizer Factor Savings Program1-888-240-9040 $12,000

• Patient financial responsibility of $10/month.
• No financial eligibility requirements.
• Must have commercial insurance that covers factor.
• Medicare/Medicaid beneficiaries are not eligible.

Shire Shire’s Hemophilia Co-pay Program1-888-229-8379 $12,000

• Must have commercial insurance.
• Must use Shire hemophilia products.
• No income requirements.
• Eligible patients with private insurance receive up to $12,000 every 12 months for medication-related co-payment/co-insurance with retroactive assistance for a date of service within 120 days prior to their co-pay activation date.

Manufacturer Product Assistance Programs

Manufacturer Product Assistance Program Name &Contact Information
Aptevo IXINITY Patient Assistance Program: for patients who are uninsured or experiencing a lapse in coverage to access treatment. 1-855-494-6489.
Bayer GAP Coverage Program : Patients who are unemployed or have a loss/lapse in private insurance coverage; Patient Assistance Program: Patients who do not have insurance, lack 3rd-part coverage, or have pending Medicaid approval maybe be eligible to receive Kogenate FS.1-800-288-8374.
Biogen Factor Access Program: Patients using ALPROLIX or ELOCTATE who have no prescription coverage, are facing a gap in coverage, or have reached their maximum insurance coverage limit, may be eligible to receive product for free.ALPROLIX: 1-855-692-5776

ELOCTATE: 1-855-693-5628
CSL Behring Patient Assistance Program: Patients must be underinsured or uninsured & when enrolled, actively seeking insurance.Assurance Program: Must have private health insurance; certificate program that helps with potential future lapses in private insurance plans.

1-800-676-4266
Grifols Grifols Patient Care Program: For patients using ALPHANATE or AlphaNine SD who are uninsured or experiencing a temporary lapse of insurance coverage.1-844-693-2286
Novo Nordisk Novo Nordisk Product Assistance Program: Provides medication to qualifying applicants at no charge; patients must have been prescribed a Novo Nordisk product for an eligible indicated condition, have no insurance coverage & actively seeking insurance coverage.1-844-668-6732
Octapharma NUWIQ Free Trial Program: allows for up to six doses or 20,000 IUs of NUWIQ. A prescription for NUWIQ is required. Wilate Free Trial Program: allows for up to 5,000 IUs of Wilate. A prescription for Wilate is required.

1-800-554-4440
Pfizer Pfizer RxPathways Program: Provides co-pay assistance up to $10,000, free product or premium assistance. Must be prescribed a Pfizer specialty drug, must have private insurance with prescription drug coverage and meet income eligibility requirements.1-866-706-2400
Shire Shire Patient Assistance Program: Provides uninsured & financially-eligible patents free products for eligible Shire’s hemophilia products.1-888-229-8379