$15,000 maximum
annual benefit
per enrollment
period
Financial Assistance
Patient support services and
Patient support services and
programs to assist with access
Commercially Insured
Commercially insured includes commercial, private, employer, and state-run health insurance exchanges. Coverage and reimbursement for patients with commercial insurance will vary based on health plan benefit design and provider contract.
Coherus SolutionsTM offers a Co-Pay Savings Program that covers out-of-pocket expenses related to UDENYCA® for commercially insured patients.
Coherus SolutionsTM offers a Co-Pay Savings Program that covers out-of-pocket expenses related to TORELBY™ for commercially insured patients.
Eligible patients qualify for $0 out-of-pocket costs for each UDENYCA® dose.*
Eligible patients qualify for $0 out-of-pocket costs for each TORELBY™ dose.*
-
No physical co-pay card required
Enroll in the Co-Pay Program
Submit Claims
Submit Claims
Get Reimbursed
The Co-Pay Savings Program has a 180-day look back period. Patients with commercial insurance, who have received UDENYCA® in the past 6 months, may be eligible.
The Co-Pay Savings Program has a 180-day look back period. Patients with commercial insurance, who have received TORELBY™ in the past 6 months, may be eligible.
*Eligibility Criteria:
- Must be prescribed UDENYCA® for a medically appropriate use
- Must have commercial health insurance that covers the medication costs of UDENYCA®
- Must not be covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicaid, Medicare Advantage, Medicare Part D, Veterans Affairs, the Department of Defense, or TRICARE
- Must not seek reimbursement amount received from Coherus from any third-party payers, including flexible spending accounts or healthcare savings accounts
If at any time a patient starts receiving coverage through a federal, state, or government-funded healthcare program, the patient will no longer be eligible for the program. The patient MUST contact Coherus SolutionsTM at 844-4-UDENYCA / (1-844-483-3692) to report the change in eligibility status.
If at any time a patient starts receiving coverage through a federal, state, or government-funded healthcare program, the patient will no longer be eligible for the program. The patient MUST contact Coherus SolutionsTM at 1-844-483-3692 to report the change in eligibility status.
The co-pay program only covers the costs of UDENYCA® and does not cover any administration or office visit costs. Restrictions may apply and not valid where prohibited by law. Coherus may revise or terminate this program without notice at any time.
The co-pay program only covers the costs of TORELBY™ and does not cover any administration or office visit costs. Restrictions may apply and not valid where prohibited by law. Coherus may revise or terminate this program without notice at any time.
Co-Pay Program Brochure
Download
For assistance with co-pay claims reimbursement, please contact
Coherus SolutionsTM at (1-844-483-3692)
