Skyrizi Copay Assistance Program Details and Benefits

The Skyrizi Copay Assistance Program is designed to help patients with moderate to severe plaque psoriasis manage their medication costs. Eligible patients can save up to $6,000 per year.

To be eligible, patients must have a valid prescription for Skyrizi and meet certain income requirements. This program is not available to patients who are covered by government-funded programs such as Medicare, Medicaid, or the Veterans Administration.

Eligible patients can receive their copay assistance through a pharmacy or mail order program. This means they can pick up their medication at a participating pharmacy or have it delivered to their home.

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You can pay as little as $0 per quarterly dose for Skyrizi with the Skyrizi Complete Savings Card.

Eligible, commercially insured patients can take advantage of this savings opportunity.

The Skyrizi Complete Savings Card covers the cost of the starting dose, including Week 0 and Week 4.

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With the Complete Savings Card, you could pay $0 per dose of Skyrizi. This is thanks to the Skyrizi Complete Savings Card, which enables many eligible, commercially insured patients to pay as little as $0 per quarterly dose.

The list price, or Wholesale Acquisition Cost (WAC), for one dose of Skyrizi is $22,383.49 as of January 6, 2025. This is a staggering amount, but the Complete Savings Card can help bring the cost down to $0.

To qualify for the Complete Savings Card, you'll need to meet the eligibility requirements. These requirements are clearly outlined on the NowPatient website, where you can also access the various savings programs.

Here's a quick breakdown of how the NowPatient Skyrizi savings programs work:

Keep in mind that these programs have their own eligibility requirements, and not all programs are available to everyone. But with the Complete Savings Card, you could pay $0 per dose of Skyrizi, which is a huge relief for those struggling to afford their medication.

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If you're experiencing copay assistance rejection, don't panic. The author of this article had a similar experience with Skyrizi, a biologic medication, after submitting documentation for a copay rebate. The first time they submitted the documentation, it was approved the next day, but the second time it was rejected.

A rejection email can be stressful, especially during the holiday season, as the author found out. They received the rejection email the morning after submitting the documentation and felt let down. It's essential to stay calm and not overreact in such situations.

It's worth noting that the author's insurance plan, CoveredCA (ACA), might have been the reason for the rejection. If you have an assistance program on your insurance plan, you might not be eligible for copay assistance. It's crucial to check your insurance plan before applying for copay assistance.

The author called Skyrizi Complete to find out what happened, and they had to check if the author had an assistance program on their insurance plan. Thankfully, they were able to cover $495 of the copay, but it took 8 days to process the rebate.

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Health care groups are pushing for pharmacy benefit manager (PBM) reform. The PBM Accountability Project, among others, is advocating for change.

A coalition of health care groups, including America’s Agenda and the National Association of Chain Drug Stores, has written to Congress and the president urging them to enact PBM reform this spring.

The ERISA Industry Committee, Blue Shield of California, and Transparency-Rx are also part of this effort.

The NowPatient SKYRIZI savings programs are designed to help make your prescription more affordable. However, not everyone is eligible for these programs.

If you're insured with Medicare, you may not be eligible for the drug coupon and patient assistance programs, and you'll need to check Medicaid eligibility in your state.

The programs are available to people with various insurance statuses, including those with federal, state, or government insurance, commercial or private insurance, and no insurance at all.

However, having private insurance may complicate your eligibility for Medicaid. If you're having trouble paying for your SKYRIZI medication due to unaffordable copays or deductibles, you may be eligible for assistance programs like the Patient Access Network Foundation (PAN) or the HealthWell Foundation Copay Program.

Here are some eligibility criteria for these programs:

It's essential to check the eligibility criteria for each program and to contact the pharmaceutical company if you're denied assistance.

Skyrizi copay assistance is available to eligible patients.

You can apply for the program through the Novartis website.

Eligible patients can receive up to 12 months of free medication.

This assistance helps make Skyrizi more affordable for those who need it.