About EYLEA's copay card program About EYLEA's copay card program

EYLEA COPAY CARD PROGRAM

Eligible patients with commercial insurance may pay as little as a $0 copay for each EYLEA treatment with the EYLEA Copay Card. Subject to annual assistance limit.

Each EYLEA treatment could cost $0 with the EYLEA copay card program.

THE EYLEA COPAY CARD PROGRAM

Patients diagnosed with Wet Age-related Macular Degeneration (Wet AMD), Diabetic Macular Edema (DME), Diabetic Retinopathy (DR), or Macular Edema following Retinal Vein Occlusion (MEfRVO) who have private insurance may qualify for copay assistance:

  • Your insurance covers EYLEA
  • You have a copay for EYLEA
  • You’re a resident of the USA or its territories or possesions

Apply by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) and press Option 4. Hours: Mon-Fri 9 a.m. – 8 p.m. Eastern Time.

Learn about other assistance options such as the Alternate Coverage Referral and the Patient Assistance Program.

Other assistance options


If you have government insurance (like Medicare), are uninsured, or if your health plan doesn’t cover EYLEA, there are still financial assistance options available for eligible patients.

Alternate Coverage Referral may be an option if you have government insurance. The Patient Assistance Program may help eligible patients get EYLEA free of charge if you are uninsured or if your health plan doesn’t cover EYLEA.

Additional assistance options

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

Each EYLEA treatment could cost $0 with the EYLEA copay card program.

How does the EYLEA Copay Card Program work?


Here’s an example: You have commercial health coverage, and pay $490 in out-of-pocket copay/coinsurance for each EYLEA treatment. If you enroll in the EYLEA Copay Card Program, the program would cover the $490 if you have not exceeded the $15,000 per-year limit. You would be responsible for any additional copay costs that exceed the program assistance limit.

The EYLEA Copay Card Program covers up to $15,000 in assistance per year toward product-specific copay, coinsurance, and insurance deductibles for EYLEA treatments. You pay as little as a $0 copay of each treatment and any additional copay costs that exceed the program limits.

EYLEA4U® patient support program provides resources and financial assistance to help with EYLEA anti-VEGF treatment cost.

EYLEA4U Offers Live Support.

EYLEA4U® Support Specialists are here to listen to your story and answer your questions. These Specialists can help by:

  • Determining the support program that may be right for you
  • Providing information about your health plan
  • Working with your doctor’s office and health plan to help determine your coverage

Receive support by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) Monday through Friday 9 AM to 8 PM Eastern Time. Press 2 for Medical Information questions, 3 to report an adverse event, 4 for patient assistance programs, or 6 if you need help getting to and from your eye appointments.

Helpful Advice

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IMPORTANT SAFETY INFORMATION
  • EYLEA® (aflibercept) Injection is a prescription medicine 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.
  • Injection into the eye with EYLEA can result in an infection in the eye and retinal detachment (separation of retina from back of the eye). Inflammation in the eye has been reported with the use of EYLEA.
  • In some patients, injections with EYLEA may cause a temporary increase in eye pressure within 1 hour of the injection. Sustained increases in eye pressure have been reported with repeated injections, and your doctor may monitor this after each injection.
  • There is a potential risk of serious and sometimes fatal side effects related to blood clots, leading to heart attack or stroke in patients receiving EYLEA.
  • Serious side effects related to the injection procedure with EYLEA are rare but can occur including infection inside the eye and retinal detachment.
  • The most common side effects reported in patients receiving EYLEA are increased redness in the eye, eye pain, cataract, vitreous (gel-like substance) detachment, vitreous floaters, moving spots in the field of vision, and increased pressure in the eye.
  • It is important that you contact your doctor right away if you think you might be experiencing any side effects, including eye pain or redness, light sensitivity, or blurring of vision, after an injection.
  • EYLEA is for prescription use only. For additional safety information, please talk to your doctor and see the full Prescribing Information for EYLEA.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

INDICATIONS

EYLEA® (aflibercept) Injection 2 mg (0.05mL) is a prescription medicine approved for the treatment of patients with Wet Age-related Macular Degeneration (AMD), Macular Edema following Retinal Vein Occlusion (RVO), Diabetic Macular Edema (DME), and Diabetic Retinopathy (DR).

Please see the full Prescribing Information for EYLEA.

The information contained herein is provided for general educational purposes. If you have any questions, talk to your doctor.

For U.S. Residents Only

EYLEA AND EYLEA4U are registered trademarks of Regeneron Pharmaceuticals, Inc.

© 2019, Regeneron Pharmaceuticals, Inc. All rights reserved.
777 Old Saw Mill River Road,
Tarrytown, NY 10591

05/2019
US-LEA-14281e(1) US-LEA-14281e(1)

 

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