Co-pay assistance

Check eligibility for a BioMarin Co-pay Assistance Program

You may be eligible to receive financial assistance with out-of-pocket co-pay expenses for treatment and/or administration of your BioMarin treatment. This out-of-pocket expense is determined by your insurance company based on plan coverage. BioMarin Co-pay Assistance Programs are for commercially insured patients only, and certain terms and conditions may apply. If you qualify, the Co-pay Assistance Programs may reduce your out-of-pocket responsibility and you will be automatically enrolled each year, as long as you remain eligible.

To be eligible for BioMarin Co-pay Assistance Programs, you must be a resident of one of the 50 U.S. states or Puerto Rico.

Additionally, BioMarin Co-pay Assistance Programs are valid for commercially insured patients only. To be eligible, you must not be insured by a publicly funded health program such as Medicare, Medicaid, Veterans Affairs (VA), the Department of Defense (DoD or TRICARE), or any similar state-funded or federally funded program such as state pharmacy assistance programs.

BioMarin Co-pay Assistance Programs are available only for Brineura (cerliponase alfa), Kuvan (sapropterin dihydrochloride), and Palynziq (pegvaliase-pqpz). If you are interested in financial assistance options for other BioMarin products, please contact BioMarin RareConnections by email or call 1‑866‑906‑6100.

Determine your eligibility by starting your enrollment in a co-pay program

Please answer the following questions to apply for a BioMarin Co-pay Assistance Program. Provide complete and detailed information to ensure prompt review and processing of your application. Your information will be reviewed, and a dedicated BioMarin RareConnections™ Case Manager will contact you to discuss your eligibility and enrollment.

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The BRINEURA Co-pay Assistance Program provides financial assistance to eligible patients. It covers out-of-pocket costs associated with co-pays for treatment with and/or administration of BRINEURA® (cerliponase alfa) for eligible participants, up to the annual maximum, for as long as the patient remains eligible.

To be eligible for the BRINEURA Co-pay Assistance Program, you must have a prescription for BRINEURA and be a resident of one of the 50 U.S. states or Puerto Rico. Additionally, the program is valid for commercially insured patients only. This means that you must not be insured by a publicly funded health program such as Medicare, Medicaid, Veterans Affairs (VA), the Department of Defense (DoD or TRICARE), or any similar state-funded or federally funded program such as state pharmacy assistance programs. If you live in certain states (MA, MI, MN, or RI), you are not eligible for drug administration co-pay support. This program is subject to termination or modification at any time.

The KUVAN Co-pay Assistance Program provides financial assistance to eligible patients. It covers out-of-pocket costs associated with co-pay costs for KUVAN® (sapropterin dihydrochloride) prescriptions for eligible participants, up to the annual maximum of $14,000, for as long as the patient remains eligible.

The KUVAN Co-pay Assistance Program applies to co-pay costs related to KUVAN only, and will not cover out-of-pocket expenses for KUVAN beyond the annual maximum. It will also not cover your insurance premiums, transportation costs for clinic visits, or any co-pays related to clinic visits or lab tests.

To be eligible for the KUVAN Co-pay Assistance Program, you must have a prescription for KUVAN and be a resident of one of the 50 U.S. states or Puerto Rico. Additionally, the program is valid for commercially insured patients only. This means you must not be insured by a publicly funded health program such as Medicare, Medicaid, Veterans Affairs (VA), the Department of Defense (DoD or TRICARE), or any similar state-funded or federally funded program such as state pharmacy assistance programs. This program is subject to termination or modification at any time.

The PALYNZIQ Co-pay Assistance Program provides financial assistance to eligible patients. It covers out-of-pocket costs associated with co-pay costs related to both PALYNZIQ® (pegvaliase-pqpz) prescription and up to 3 refills of auto-injectable epinephrine prescriptions, up to the annual maximum of $15,000, for as long as the patient remains eligible.

The PALYNZIQ Co-pay Assistance Program applies to co-pay costs related only to PALYNZIQ and auto-injectable epinephrine, and will not cover out-of-pocket expenses beyond the annual maximum. It will also not cover your insurance premiums, transportation costs for clinic visits, or any co-pays related to clinic visits or lab tests.

To be eligible for the PALYNZIQ Co-pay Assistance Program, you must have a prescription for PALYNZIQ and be a resident of one of the 50 U.S. states or Puerto Rico. Additionally, this program is valid for commercially insured patients only. This means you must not be insured by a publicly funded health program such as Medicare, Medicaid, Veterans Affairs (VA), the Department of Defense (DoD or TRICARE), or any similar state-funded or federally funded program such as state pharmacy assistance programs. This program is subject to termination or modification at any time.

Patient Information:
Parent or Guardian Information:
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Patient Contact Information:
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Are you a resident of one of the 50 U.S. states or Puerto Rico?
Is your BRINEURA prescription either paid for or eligible for payment, in whole or in part, by any of the following: (1) federal government–funded health program, such as Medicare B and/or Part D, Medicare Advantage, Medicaid, Veterans Affairs (VA), or TRICARE, or (2) any similar state-funded program, such as a state pharmacy assistance program?
Are you a resident of Massachusetts, Michigan, Minnesota, or Rhode Island?
You are not eligible for co-pay assistance for BRINEURA at this time. You must be a resident of one of the 50 U.S. states or Puerto Rico to be eligible for the BRINEURA Co-pay Assistance Program. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
You are not eligible for co-pay assistance for BRINEURA at this time. Eligibility is only available to commercially insured patients. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
Are you a resident of one of the 50 U.S. states or Puerto Rico?
Is your KUVAN prescription either paid for or eligible for payment, in whole or in part, by any of the following: (1) federal government–funded health program, such as Medicare B and/or Part D, Medicare Advantage, Medicaid, Veterans Affairs (VA), or TRICARE, or (2) any similar state-funded program, such as a state pharmacy assistance program?
You are not eligible for co-pay assistance for KUVAN at this time. You must be a resident of one of the 50 U.S. states or Puerto Rico to be eligible for the KUVAN Co-pay Assistance Program. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
You are not eligible for co-pay assistance for KUVAN at this time. Eligibility is only available to commercially insured patients. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
Are you a resident of one of the 50 U.S. states or Puerto Rico?
Is your PALYNZIQ prescription either paid for or eligible for payment, in whole or in part, by any of the following: (1) federal government–funded health program, such as Medicare B and/or Part D, Medicare Advantage, Medicaid, Veterans Affairs (VA), or TRICARE, or (2) any similar state-funded program, such as a state pharmacy assistance program?
Are you a resident of California or Massachusetts?
You are not eligible for co-pay assistance for PALYNZIQ at this time. You must be a resident of one of the 50 U.S. states or Puerto Rico to be eligible for the PALYNZIQ Co-pay Assistance Program. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
You are not eligible for co-pay assistance for PALYNZIQ at this time. Eligibility is only available to commercially insured patients. If you have any questions, please contact your BioMarin RareConnections Case Manager to learn about other financial assistance options by email or call 1-866-906-6100.
Verification:

Please provide your initials below to confirm that you have provided complete and accurate information in your application.
Disclosures:

In order to receive benefits under a BioMarin Co-pay Assistance Program, it is important that you provide accurate information. Your personal information is required for security purposes and is only used to confirm your eligibility for enrollment in a BioMarin Co-pay Assistance Program and to administer the program.

BioMarin’s Co-pay Assistance Programs are not open to patients covered by federal, state, or government-funded insurance programs (Medicare, Medicaid, etc), or where prohibited by law. Should you at any time begin receiving prescription drug coverage under such a government-funded program, you will no longer be eligible to participate in a BioMarin Co-pay Assistance Program.

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