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EYLEA co-pay card
If you have private/commercial insurance

EYLEA Co-Pay
Card Program*

Pay a $5 co-pay for each EYLEA treatment—or up to $60 during the first year—with the EYLEA Co-Pay Card if you have private health insurance.

EYLEA co-pay assistance referral
If you have government insurance

Co-Pay
Assistance Referral

When you have government insurance (like Medicare) and need help with your out-of-pocket costs.

EYLEA patient assistance program
If you have no insurance or no coverage for EYLEA

Patient
Assistance Program

Are you uninsured or does your health plan not cover EYLEA? If so, the EYLEA Patient Assistance Program may be able to provide EYLEA free of charge to eligible patients.

*Co-pay reimbursement is subject to an annual cap, and the patient is responsible for any additional co-pay costs that exceed the program assistance limit. This program is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA DOD, TRICARE, or similar federal or state programs. This program is not an insurance benefit. The program does not cover or provide support for supplies, procedures, or any physician-related service associated with EYLEA. General, non–product-specific co-pay, co-insurance, or insurance deductibles are not covered. This program is not valid where prohibited by law, taxed, or restricted. EYLEA4U reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice. Additional program conditions apply.

Regeneron does not influence or control the operations of independent charitable foundations and cannot guarantee assistance will be provided.

Important Safety Information
  • EYLEA® (aflibercept) Injection is a prescription medication administered by injection into the eye. You should not use EYLEA if you have an infection in or around the eye, eye pain or redness, or known allergies to any of the ingredients in EYLEA, including aflibercept.
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