Taltz Savings Card - Non-covered benefit
Funded
About
The Taltz Savings Card - Non-covered benefit program provides significant savings on the drug Taltz for eligible patients. By participating in the Taltz Savings Card program, patients who face insurance coverage denials can obtain Taltz for no more than $25 a month, with additional benefits and support provided under specific conditions.
Insurance requirements: Commercially insured, Underinsured
As low as: $25 per mo
Enrollment Forms
Taltz Savings Card - Non-covered benefit
Benefits
•$9200 annual maximum benefit
•24 maximum fills per year
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: Yes
Program Details
•Patients whose insurance denies coverage for Taltz (an appeal must be submitted prior to 5th month fill) pay no more than $25 a month
•Patients who qualify for the $25 monthly program are required to have a new PA and appeal or medical exception (ME) submitted every 12 months or as required by Lilly to verify coverage status and potential eligibility for the $5 program
•Offer subject to a monthly cap and a separate annual cap of $9,200 per calendar year
•Card may be used for a maximum of up to 14 prescription fills per calendar year and a separate maximum of up to 24 prescription fills over the lifetime of the Program
•For assistance or additional information, call 8005455979, MonFri, 8am10pm EST
•Pharmacists with questions, please call the Pharmacy Benefit Manager 18666153716
Enrollment Forms
Enrollment Form
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