Eisai Assistance Program: help your patients pay for HALAVEN® with the $0 Co-Pay Program
HALAVEN $0 Co-Pay Program
The HALAVEN $0 Co-Pay Program assists commercially insured HALAVEN patients with their HALAVEN cost-share (copayments and coinsurances). The HALAVEN $0 Co-Pay Program provides up to $18,000 per year to assist with out-of-pocket costs for HALAVEN.
To qualify,* patients must
Be covered by commercial insurance
Not be enrolled in state or federal health care programs, including Medicare, Medicaid, Medigap, VA, DoD, or TRICARE
*Other eligibility requirements may apply.
The $0 Co-Pay Program is part of the Eisai Assistance Program, which offers information about reimbursement and patient assistance programs.
How the HALAVEN $0 Co-Pay Program works:
Simplified paperwork—no income requirements
A completed enrollment form must be submitted including both the patient's signature and the physician's signature
Eligible patients will receive a welcome letter and information card. The card provides instructions for health care providers to process the virtual debit card payment
Reimbursement services through the Eisai Assistance Program (EAP)
Reimbursement information, complete with details on coding, including utilizing the HALAVEN J-code, J9179†
Insurance verification and coverage options with an approximate 24- to 48-hour turnaround for all queries
Support in evaluating alternate coverage options and advising on application requirements
Prior authorization assistance with researching requirements and individual payer instructions
Claims assistance in evaluating denials
Educating payers about HALAVEN billing and the appeal process
Patient assistance and free product to eligible patients
Learn more about the HALAVEN $0 Co-Pay Program and the EAP for HALAVEN
ClickTap to visit www.eisaireimbursement.com/hcp/halaven
Call 1.866.61.EISAI (1.866.613.4724), Monday-Friday, 8 AM to 8 PM, ET
†Eisai cannot guarantee payment of any claim. Coding, coverage, and reimbursement may vary significantly by payer, plan, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payers following the receipt of claims. For additional information, customers should consult with their payers for all relevant coding, reimbursement, and coverage requirements. It is the sole responsibility of the provider to select the proper code and ensure the accuracy of all claims used in seeking reimbursement. All services must be medically appropriate and properly supported in the patient medical record.