The financial assistance guide below is for anyone who has been prescribed AJOVY by their healthcare provider. AJOVY 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 AJOVY. 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.
Patients may pay as little as $15 out of pocket for AJOVY. Maximum Program assistance per prescription and annual benefit limits per individual apply and out of pocket expenses may vary. Patient is responsible for costs above maximum benefit amounts. Patients with managed care restrictions (e.g., prior authorization, step edit) may not be eligible for this Program if such managed care restrictions persist. Continued eligibility may require that the patient has an approved prior authorization. Patients without formulary coverage or an approved prior authorization for AJOVY may receive less benefit.
Steps To Get Your Savings Card
Congratulations on accessing your first dose of AJOVY! Teva 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 AJOVY prescription. Contact your doctor’s office to see if they have completed the AJOVY prior authorization form on your behalf. Contact your insurance company to see if they will cover your prescribed medicine. If you have questions or encounter problems, contact Teva Shared Solutions at 1-800-887-8100
I Have Medicare, Medicaid or other Government Insurance Plan
The Teva Savings Offer 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.
If you are struggling to get Medicare or Medicaid to cover your prescription, speak to a Teva Shared Solutions® representative at 1-800-887-8100 who will help determine eligibility for available financial assistance programs. The call center is open Monday-Friday, 9 a.m. – 9 p.m. ET.
I Am Uninsured
Teva’s Shared Solutions program is committed to helping patients find affordable access to Ajovy. This includes financial assistance and support services. Patients can start the process by registering with the Patient Services Portal or by calling Shared Solutions at 1-800-887-8100.
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.