Why Enroll Your Office in the EVENITY Co-pay Program?

When your office registers for the EVENITY Co-pay Program, you can help your eligible patients enroll, too. Once they're enrolled, they can help reduce their out-of-pocket cost for each dose of EVENITY, download and submit essential forms, and re-enroll every year on the EVENITY Co-pay site.

1. Register Your Practice

After completing online enrollment, call 1-800-761-1558 to register the credit card terminal your office will use to process EVENITY Co-pay Cards. If your office is already registered, you can move on to step 2.

2. Help Identify Eligible Patients

Help identify which of your patients may be eligible for the EVENITY Co-pay Program.

3. Help Patients Enroll

Help your eligible patients register for the EVENITY Co-pay Program by assisting them with the enrollment process and the Patient Authorization Form (options online, by phone at 1-800-761-1558, or by fax at 1-973-843-1911). Once completed, your patient's EVENITY Co-pay Card will be activated.

Remember that patients need to enroll and agree to the Patient Authorization themselves.

4. Submit Essential Forms

To submit an Explanation of Benefits (EOB) and other relevant documentation, click here.

5. Use Co-pay Card

Swipe patient's card at visit for the appropriate deductible, co-insurance, or co-payment for one syringe of EVENITY.*

*The EVENITY Co-pay Program does not cover costs related to the office visit or administration of EVENITY. Other restrictions may apply.
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