Aimovig Financial Assistance Guide

The financial assistance guide below is for anyone who has been prescribed Aimovig by their healthcare provider. Aimovig is a 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 program.

Most insurance companies have added at least one or two 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 all 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 Copay 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 Aimovig monthly 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 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 Part D Coverage

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 Have Medicaid Coverage

99% of Medicaid Aimovig prescriptions cost patients $10 or less per month. The remaining 1% of Medicaid Aimovig prescriptions 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.

I Am Uninsured

The list price of Aimovig is $752.62 per month.

The Amgen Safety Net Foundation is an independent, nonprofit patient assistance program that provides Aimovig at 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 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.