Support throughout your BYOOVIZ^™ treatment

You may be eligible for the Drug Copay Program if you:

*There may be an annual cap on the amount of assistance that patients can receive over a one-year period. Your insurance will be billed first and must pay before copay assistance will be applicable. Federal and state laws and other factors may prevent or otherwise restrict eligibility. People covered by Medicare, Medicaid, VA/DoD, or any other federal plans are not eligible to enroll. Clinical and other restrictions may apply. Patients are eligible to enroll in the Biogen Copay Program for as long as it is offered and they are treated with BYOOVIZ. Please call Biogen Biosimilar Support Services at 1-877-422-8360 for further details.

Please note that the Drug Copay Program and Administration Copay Program are different programs with unique eligibility for each. You must enroll separately as needed.

Individuals on nongovernment insurance may be eligible for the Administration Copay Program, regardless of income. Your healthcare provider must submit a request for treatment using an approved code for administration. Only codes approved by Biogen shall be eligible under the program. Restrictions may apply.^†

^†Residents of Massachusetts, Minnesota, or Rhode Island are not eligible. Individuals receiving coverage from Medicare, Medicaid, the VA/DoD, TRICARE^®, or any other governmental or pharmaceutical assistance are not eligible. TRICARE^® is a registered trademark of the Department of Defense (DoD), DHA.

If it is determined that you are not eligible for Biogen financial assistance, Biogen Biosimilar Support Services may provide information regarding charitable organizations that could potentially provide Third-Party Assistance.

Our Free Drug Program can temporarily provide Biogen products at no cost for individuals who meet certain eligibility criteria such as residency requirements, therapy status, income, and insurance coverage.

Individuals approved and enrolled in the Free Drug Program are required to notify the program if their insurance or financial circumstances change during their enrollment, in order to be reassessed.

Enrolled patients may be contacted periodically during their enrollment to:

The Free Drug Program only covers the cost of the drug. It does not cover other costs associated with therapy, such as office visits, administration costs, or other professional services.