The HALAVEN $0 Co-Pay Program assists eligible patients with the out-of-pocket costs of HALAVEN co-payments and co-insurances. Restrictions apply. Eligible commercially insured patients may pay as little as $0 per month, with an annual limit of $18,000. Visit www.eisaireimbursement.com/hcp/halaven to see the full terms and conditions and eligibility requirements, to learn more about the program, and to download an enrollment form.
To qualify,* patients must
Simplified paperwork—no income requirements
Insurance verification and coverage options with an approximate 24 to 48 hour turnaround for all queries
Information about the prior authorization process
Information about the claims and denials appeals process
Patient assistance and free product to eligible patients
LEARN MORE ABOUT THE HALAVEN $0 CO-PAY PROGRAM BY CALLING 1.855.EISAI.4U (1.855.347.2448) MONDAY‑FRIDAY, 8 AM TO 5 PM, ET
LEARN MORE ABOUT THE EISAI ASSISTANCE PROGRAM FOR HALAVEN BY CALLING 1.866.61.EISAI (1.866.613.4724) MONDAY‑FRIDAY, 8 AM TO 8 PM, ET
OR BY VISITING WWW.EISAIREIMBURSEMENT.COM/HCP/HALAVEN
References: 1. HALAVEN [package insert]. Woodcliff Lake, NJ: Eisai Inc. 2. Data on file, Eisai Inc.