Terms and Conditions
Please click the product name below to navigate to the product-specific terms and conditions.
BEQVEZ™ (fidanacogene elaparvovec-dzkt)
Terms and Conditions: By using this Co-Pay Program, you acknowledge that
you currently meet the
eligibility criteria and will comply with the terms and conditions described below:
ELELYSO® (taliglucerase alfa)
Terms and Conditions: By using this Co-Pay
Program, you acknowledge that
you currently meet the
eligibility criteria and will comply with the terms and conditions described below:
ELREXFIO™ (elranatamab-bcmm)
Terms and Conditions: By using this Co-Pay Program, you acknowledge
that
you currently meet the
eligibility criteria and will comply with the terms and conditions described below:
INFLECTRA® (infliximab-dyyb)
Terms and Conditions: By using this Co-Pay Program, you acknowledge
that
you currently meet the
eligibility criteria and will comply with the terms and conditions below:
NIVESTYM® (filgrastim-aafi)
Terms and Conditions: By using this Co-Pay Program for Injectables
program, you acknowledge that you
currently meet the eligibility criteria and will comply with the terms and conditions described
below:
NYVEPRIA® (pegfilgrastim-apgf)
Terms and Conditions: By using this Co-Pay Program, you acknowledge
that
you currently meet the
eligibility criteria and will comply with the terms and conditions described below:
RUXIENCE® (rituximab-pvvr)
Terms and Conditions: By using this Co-Pay Program, you acknowledge
that
you currently meet the
eligibility criteria and will comply with the terms and conditions below:
TRAZIMERA® (trastuzumab-qyyp)
Terms and Conditions: By using this Co-Pay Program, you acknowledge
that
you currently meet the
eligibility criteria and will comply with the terms and conditions described below:
ZIRABEV® (bevacizumab-bvzr)
Terms and Conditions: By using this program, you acknowledge that you
currently meet the eligibility
criteria and will comply with the terms and conditions described below: