Copay and Patient Assistance
Rheumatology Medications
Abrilada (adalimumab-afzb)
- Pfizer Encompass here
adalimumab-adbm
adalimumab-ryvk
Actemra (tocilizumab)
Amjevita (adalimumab-atto)
Avsola (infliximab-axxq)
- Amgen Support Plus here
Benlysta (belimumab)
Bimzelx (bimekizumab)
Cimzia (certolizumab)
- CIMplicity Enrollment here
- Cimzia Copay Card here
- Injection instructions here
- UCB Benefit Verification here
Cosentyx (secukinumab)
Cyltezo (adalimumab-adbm)
Enbrel (etanercept)
- Amgen Nurse Partners here
- Amgen Safety Net Foundation Form here
- Enbrel Copay Program here
- Injection instructions here
Evenity (romosozumab-aqqg)
Forteo (teriparatide)
- Forteo Copay Card here
- Injection instructions here
- Lilly Cares Foundation Patient Assistance Form here
Hadlima (adalimumab-bwwd)
Hulio (adalimumab-fkjp)
Humira (adalimumab)
Hyrimoz (adalimumab-adaz)
Idacio (adalimumab-aacf)
- KabiCare Enrollment here
Inflectra (infliximab)
- Pfizer Copay Portal here
Jubbonti (denosumab-bbdz)
Olumiant (baricitinib)
Orencia (abatacept)
Otezla (apremilast)
Prolia (denosumab)
- Amgen SupportPlus here
Remicade (infliximab)
- Janssen Care Path Form here
- Johnson & Johnson Patient Assistance Enrollment Form here
- Remicade Savings Program here
Renflexis (infliximab-abda)
Organon Access Program Form here
Rinvoq (upadacitinib)
- Rinvoq Complete Form here
Rituxan (rituximab)
- Patient Consent Form here
Ruxience (rituximab-pvvr)
- Pfizer Encompass here
Saphnelo (anifrolumab)
Simlandi (adalimumab-ryvk)
Simponi (golimumab)
- Injection instructions here
- Johnson & Johnson Patient Assistance Enrollment Form here
- J&J With Me here
Simponi Aria (golimumab)
Skyrizi (risankizumab)
Stelara (ustekinumab)
- Injection instructions here
- Johnson & Johnson Patient Assistance Enrollment Form here
- J&J With Me here
Taltz (ixekizumab)
Tremfya (guselkumab)
- Injection instructions here
- Johnson & Johnson Patient Assistance Enrollment Form here
- J&J With Me here
Truxima (rituximab-abbs)
Tyenne (tocilizumab-aazg)
Xeljanz (tofacitinib)
- XelSource Patient Support Enrollment Form here
- Copay card enrollment here
- Patient Authorization Form here
Yuflyma (adalimumab-aaty)
Yusimry (adalimumab-aqvh)
Neurology Medications
Aimovig (erenumab)
- Amgen Support Plus here
Ajovy (fremanezumab-vfrm)
Botox (onabotulinumtoxinA)
- Botox Savings Program here
Emgality (galcanezumab-gnlm)
- Lilly Cares Foundation Patient Assistance Form here
Nurtec (rimegepant)
Qulipta (atogepant)
- Qulipta Complete here
Ubrelvy (ubrogepant)
- Ubrelvy Complete here
