AIMOVIG Financial Assistance Guide

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

Highlights of AIMOVIGCopay Card Highlights

This program is open to patients with commercial insurance, regardless of financial need. It allows eligible patients to pay as little as $5 per month for their AIMOVIGmonthly out-of-pocket costs. However, it’s not valid for patients whose prescriptions are covered in whole or in part by Medicare, Medicaid, or any other federal or state programs, or for cash-paying patients. The program covers remaining eligible out-of-pocket costs up to a maximum monthly benefit, a maximum annual program benefit, and/or a patient total program benefit, with patients responsible for costs exceeding these limits​.

Steps To Get Your Savings Card

1. Your doctor writes you a prescription for Aimovig.
2. Enroll in the AIMOVIG Copay Card: aimovigcopaycard.com.
3. Take your prescription (if your doctor did not call it in to your pharmacy) and Copay Card to your regular retail pharmacy to be filled. The Copay 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! Contact your doctor’s office to see if they have completed the AIMOVIGprior authorization form. Contact your insurance company to see if they will cover your prescribed medicine. If you have questions or encounter problems, contact the AIMOVIGAlly team at 1-833-246-6844.

Certain patients with Medicare Part D plans that cover AIMOVIGwho cannot afford their out-of-pocket costs may be eligible to receive AIMOVIGat 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

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

99% of Medicaid AIMOVIG prescriptions cost patients $10 or less per month. The remaining 1% of Medicaid AIMOVIGprescriptions cost patients an average of $128 per month.

Patients with Medicare or Medicaid may be eligible for AIMOVIG coverage under their health insurance plan. To find out if you’re covered, call your insurance provider today.

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

The list price of AIMOVIGis $752.62 per month.

The Amgen Safety Net Foundation is an independent, nonprofit patient assistance program that provides AIMOVIGat no cost to qualifying patients who have a financial need and are uninsured or have insurance that excludes Aimovig.

You may be eligible to receive AIMOVIGat 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

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