Apply for the Thyrogen® (thyrotropin alfa) Co-Pay Assistance Program
Eligible patients with commercial insurance may qualify for a $0* co-pay subject to a maximum annual co-pay assistance amount of $1,000. This may include any manner of co-pay, co-insurance, or deductible.
*This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicare, Medicaid, VA, DOD, TRICARE, or similar federal or state programs including any state pharmaceutical assistance program. In accordance with State law, the Program does not reimburse infusion-related charges for commercially insured patients residing in Massachusetts, Michigan, or Rhode Island. (Charitable Access Program patients residing in these states are eligible to receive assistance for infusion-related charges while they are receiving charitable drug.) No claim for reimbursement of any out-of-pocket expenses covered by the Co-Pay Program may be submitted to any third-party payer, whether public or private. The Co-Pay Program is available only in the United States and cannot be combined with any other rebate/coupon, free trial, or similar offer. Sanofi reserves the right to rescind, revoke or amend this program without notice.
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