Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.
Bafiertam Coupon Details
Bafiertam $0 Copay Program: Eligible commercially insured patients enrolled in the program may pay as little as $0 per prescription; maximum annual savings benefit of $15,000; for additional information contact the program at 855-322-6637.
Benefits :
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-322-6637
Contact Details :
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Bafiertam coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon
Bafiertam Cost
How much does Bafiertam cost near you?
It may varies based on the pharmacy you fill you prescription from.
Bafiertam Copay Assistance
Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.
Elligibility requirements:
- 1. Must be uninsured.
- 2. At or below 400% of FPL.
- 3. Must reside and receive treatment in US.
- 4. Bafiertam Copay assistance, and patient assistance programs are available for eligible patients.
Programs
Banner Patient Support
This program provides brand name medications at no or low cost
Provider: Banner Life Sciences Inc.
Medication :
- Bafiertam capsule; delayed release (monomethyl fumarate)
Additional Info for Coupon
Patient must sign the enrollment form to give the program permission to access their financial information in order to determine eligibility.
Co-payment assistance, and patient assistance programs are available for eligible patients.
Coupon Eligibility
Insurance: Determined case by case
Income: Varies
US Residency: Must be residing in the US or a US territory, and under the care of a US physician
Part D: Not specified
Diagnosis: Medically Necessary as determined by a Doctor
Patient Access Network Foundation (PAN)
This is a copay assistance program
Provider: Patient Access Network Foundation
Medication :
- Bafiertam capsule; delayed release (monomethyl fumarate)
Additional Info for Coupon
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Coupon Eligibility
Insurance: *See Additional Information section below
Income: Between 400-500% of FPL
US Residency: Must reside and receive treatment in US
Part D: Determined case by case
Diagnosis: FDA Approved Diagnosis - See Program Website for Details
What is Bafiertam
Bafiertam is used to treat relapsing forms of multiple sclerosis in adults (including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease).
Bafiertam may also be used for purposes not listed in this medication guide.
Warnings
You should not use Bafiertam if you also use dimethyl fumarate or diroximel fumarate.
Before taking this medicine
You should not use Bafiertam if you are allergic to it, or if:
you are also using dimethyl fumarate or diroximel fumarate.
Tell your doctor if you have ever had:
low white blood cell (WBC) counts;
an infection; or
liver disease.
Tell your doctor if you are pregnant or breastfeeding.
Bafiertam is not approved for use by anyone younger than 18 years old.
Bafiertam Side Effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Bafiertam may cause a serious brain infection that can lead to disability or death. Call your doctor right away if you have problems with speech, thought, vision, or muscle movement. These symptoms may start gradually and get worse quickly.
Also call your doctor at once if you have:
severe warmth, redness, burning, or itching under your skin;
liver problems--loss of appetite, stomach pain (upper right side), tiredness, dark urine, jaundice (yellowing of the skin or eyes);
signs of infection --fever, chills, sweating, mouth sores, headache, confusion, neck stiffness, sensitivity to light, vomiting, severe diarrhea; or
symptoms of herpes virus--flu-like symptoms, cold sores around your mouth, tingly or painful blistering rash, burning pain in your thigh or lower back.
Common side effects may include:
flushing (sudden warmth, redness, or tingly feeling);
stomach pain, indigestion;
nausea, vomiting; or
diarrhea.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Bafiertam coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon