Frequently Asked Questions
Is there a limit or cap on EVENITY™ Co-pay Program benefits?
Yes, for eligible patients with commercial insurance, the EVENITY™ Co-pay Program will reimburse a patient's deductible, co-pay and/or co-insurance requirements up to $8,000 per calendar year for EVENITY™. The patient is responsible for costs above this amount.
Why are uninsured, cash-paying patients not eligible for the EVENITY™ Co-pay Program?
The EVENITY™ Co-pay Program is intended to help commercially insured patients reduce the cost of their co-pay or deductible for EVENITY™. Uninsured patients requiring assistance may be referred to The Amgen Safety Net Foundation at 1-888-SN-AMGEN (1-888-762-6436) to request assistance. Amgen Safety Net Foundation (ASNF) is an independent non-profit patient assistance program that assists qualifying patients who have a financial need and are uninsured or have insurance that excludes EVENITY™.
Are there financial assistance options available to people on Medicare or Medicaid?
Amgen Assist® can refer patients, as a courtesy, to independent co-pay foundations. Provided through independent charitable patient assistance programs, eligibility in these foundation programs is based on criteria established by the charity. Amgen has no control over independent, third-party programs. For more information, contact Amgen Assist® at [1-866-264-2778].
Is annual re-enrollment in the EVENITY™ Co-pay Program necessary?
Once your office is enrolled in the Program, there is no need to re-enroll. However, EVENITY™ Co-pay Program benefits renew every January and patients need to re-verify their eligibility on a yearly basis. Once eligibility has been confirmed, patients will be sent their new EVENITY™ Co-pay Program card. Annual benefits remain in effect through December 31st. At that time, participants will need to re-verify their benefits by logging into www.EVENITYsupport.com or calling 1-800-761-1558 to ensure they still meet the program's eligibility criteria. Once benefits are re-verified and eligibility reconfirmed, the calendar year maximum benefits will automatically reset.
Can patients use their Co-pay Card for EVENITY™-related office visits?
No. The EVENITY™ Co-pay Program covers out-of-pocket medication costs for EVENITY™ only. It does not provide support for supplies, procedures, or any physician-related services associated with EVENITY™, including office visits or administration of EVENITY™.
Does the Explanation of Benefits (EOB) have to be faxed after each dose?
Ongoing eligibility in the program is contingent on submission of the patient's Explanation of Benefits (EOB) within [XX] days of each and every swipe of the EVENITY™ Co-pay Card. To submit EOB and other relevant documentation, please fax 1-973-843-1911 or mail to:
100 Passaic Avenue, Suite 245
Fairfield, NJ 07004
ATTN: EVENITY Co-pay Program.