Aimovig Financial Assistance Guide

GUIDES

In 2018, a new class of medications was approved by the FDA for the prevention of migraine in adults. These drugs are referred to as calcitonin gene-related peptide (CGRP) inhibitors. There are currently multiple CGRP medications on the market. Dosing, frequency of use and method of action vary.
 
The financial assistance guide below is for anyone who has been prescribed Aimovig by their healthcare provider. Aimovig is one of three new CGRP inhibitors approved for the prevention of migraine in adults. If you or someone you know requires help with paying for treatment, review the details provided below to see if you qualify for the manufacturer’s financial assistance programs.

Most insurance companies have added at least one or two of these CGRP inhibitors to the list of medicines they cover; however, patients still struggle to receive insurance approval for the prescribed CGRP inhibitor. Each pharmaceutical company is offering financial assistance programs to help cover and/or to help cover the cost of high copays. Each program is different and various programs exist to support patients with private, government-funded insurance, as well as the uninsured.

To help patients understand each program, CHAMP created Financial Assistance Guides for the three CGRP inhibitors. These guides are not produced or approved by the medication manufacturers. CHAMP is not endorsing the use of any CGRP inhibitor over another, nor promoting the use of this new class of preventive medications for everyone with migraine disease. Every patient needs to consult their healthcare provider to determine if CGRP inhibitors are right for you.

I Have Been Prescribed Aimovig. What Financial Assistance Programs Exists To Help Me?

Find your insurance coverage and see what Financial Assistance Programs exist to help.

I Have a Private/Commercial Insurance Plan

This category includes insurance plans provided through an employer, purchased with subsidy support from the Affordable Care Act (Obamacare) or purchased privately.

 

Highlights of Aimovig Ally Access Card

If your health plan covers Aimovig, you pay as little as $5 per month up to a $2,700 annual cap. This applies to your out-of-pocket costs, including deductible, co-insurance and copayments for Aimovig. You are responsible for costs above the $2,700 annual maximum. Offer expires after 12 months at which time you must re-enroll in the program to continue receiving this benefit. You should be notified at least 30 days prior to the end of the 12 month offer. However, if you do not receive that notification, please call Aimovig Ally to follow-up.

If your health plan does not cover Aimovig, or requires a Prior Authorization, you can qualify for the Bridge to Commercial Coverage Offer. Under this offer, you will receive Aimovig at no cost for up to 12 doses while insurance coverage is pursued. Once insurance coverage is approved, this offer is no longer valid, and you must call 1-833-246-6844 to stop participation.

 

Steps To Get Your Savings Card

  1. Your doctor writes you a prescription for Aimovig.
  2. Enroll in the Aimovig Ally Access Card program online at aimovigaccesscard.com/enroll.
  3. Take your prescription (if your doctor did not call it in to your pharmacy) and Access Card to your regular retail pharmacy to be filled. The Access Card includes important information you need to provide the pharmacist to connect your prescription to the offered savings.
  4. If your pharmacy has Aimovig in stock, they will provide it immediately. If the pharmacy needs to order Aimovig, they should receive it within 24-48 hours. Some pharmacies may direct you to their specialty pharmacy service to arrange home delivery.

Congratulations on accessing your first dose of Aimovig! Amgen will now be working behind the scenes to get your doctor to complete a prior authorization form and to get your insurance company to cover your Aimovig prescription. Contact your doctor’s office to see if they have completed the Aimovig prior authorization form. Contact your insurance company to see if they will cover your prescribed medicine. If you have questions or encounter problems, contact the Aimovig Ally team at 1-833-246-6844.

I Have Medicare, Medicaid or other Government Insurance Plan

The Aimovig Access Card is not available to patients whose medical insurance is provided by state or federal programs like Medicare, Medicaid or Tricare. This restriction is true for all three CGRP inhibitor medications.

The Federal Government does not allow people who are receiving insurance benefits through Medicare, Medicaid, etc. to use co-pay assistance, discount or savings cards offered by pharmaceutical companies. The intent is to steer patients to lower-cost generic drugs and not to support higher-cost brand-name drugs. Unfortunately, there are no generic/biosimilar medications in the class of CGRP inhibitors and won’t be for years to come.

Certain patients with Medicare Part D plans that cover Aimovig who cannot afford their out-of-pocket costs may be eligible to receive Aimovig at no cost from the Amgen Safety Net Foundation. It is required that you can demonstrate that you:

  • are unable to afford Aimovig (See household income guidelines below)
  • are not eligible for Medicaid or Medicare’s Extra Help program
  • have fulfilled all insurance carrier guidelines and Prior Authorization requirements prior to applying for assistance
  • do not have any other financial support options

If you have this many people in your household Your household income must be equal to or below this much each year
1 $60,700
2 $82,300
3 $103,900
4 $125,500
Each additional person Add $21,600

For more information on the Amgen Safety Net Foundation, please visit amgensafetynetfoundation.com or call 1-888-762-6436.

I Am Uninsured

The Aimovig Access Card is not available to patients who are uninsured.

You may be eligible to receive Aimovig at no cost from the Amgen Safety Net Foundation if you meet the following requirements:

  1. Have lived in the US or its territories for six months or longer
  2. Are uninsured, or your insurance plan does not include Aimovig
  3. Meet the household income eligibility requirements below

If you have this many people in your household Your household income must be equal to or below this much each year
1 $60,700
2 $82,300
3 $103,900
4 $125,500
Each additional person Add $21,600

For more information on the Amgen Safety Net Foundation, please visit amgensafetynetfoundation.com or call 1-888-762-6436.

Where do I turn if I am not eligible for a financial assistance program?

The Patient Advocate Foundation (a CHAMP participant organization) can be a helpful resource for patients and caregivers who are experiencing access challenges. PAF provides a suite of expert tips to help navigate insurance denials, appeals and common barriers at: patientadvocate.org/migrainematters.

PAF also offers one-on-one case management assistance through its dedicated Migraine Careline for people living with migraine who experience access challenges. The Migraine Careline provides assistance with: navigating eligibility and enrollment in disability benefits; overcoming insurance coverage; and financial burdens that impact patient access to care.

All services are completely free and provided through phone and/or email communication. Visit migraine.pafcareline.org or call 866-688-3625 to speak with a case manager today.

Aimovig Basics

  • Brand Name

  • Aimovig
  • Biologic Name

  • erenumab-aooe
  • Pharmaceutical Company

  • Amgen and Novartis
  • Injection Training Available

  • Yes, your healthcare provider should demonstrate how to use the autoinjector prior to your first use. Detailed instructions and video are available on the Aimovig website.
  • Dosing & Administration

  • Option 1: 70 mg monthly injection via the SureClick® autoinjector at home.
    Option 2: 140 mg monthly injection (2 separate 70 mg injections one right after the other) via the SureClick® autoinjector at home.
    Your doctor will determine which option is best for you.
  • Indication

  •  Adults living with either chronic migraine (15 or more headache days per month) or episodic migraine (fewer than 15 headache days per month).
  • Sharps Container Available

  • Yes
  • Home Delivery Available

  • Home delivery may be available from Aimovig Ally through their patient access program or through your insurance company. Please call either Aimovig Ally or your insurance for more information.

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