TEPMETKO® (tepotinib) CO-PAY ASSISTANCE PROGRAM

Apply for Copay Assistance Here

CoverOne® provides a Co-Pay Assistance Program to help privately insured TEPMETKO® (tepotinib) patients who meet the program eligibility criteria with co-pay/co-insurance responsibilities.

  • Privately insured patients may apply for co-pay assistance online through our copay portal or by submitting a CoverOne TEPMETKO Enrollment Form
  • Government insured patients, including Medicare Part D/Medicare Advantage and Medicaid beneficiaries, are not eligible for the CoverOne Co-Pay Assistance Program
  • Enrolled patients may be eligible to pay as little as a $0 co-pay for each prescription of TEPMETKO up to a maximum of $15,000 per year
  • For enrolled patients, Co-Pay Assistance will be applied when the privately insured pharmacy claim is adjudicated

The patient Co-Pay Assistance Program is not contingent on any past or commercial sale of TEPMETKO.

The CoverOne Co-Pay Assistance Program is entirely for the benefit of the enrolled TEPMETKO patient.

 

 

 

CoverOne Co-Pay Assistance Program Terms and Conditions

By enrolling in the CoverOne Co-Pay Assistance Program, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:

  1. The CoverOne Co-Pay Program is offered to eligible TEPMETKO® (tepotinib) patients who are insured through a private/commercial health plan/PBM and are enrolled in CoverOne.
  2. This offer is not valid for medicines that are eligible to be reimbursed, in whole or in part, by Medicare, Medicaid, or any other federal or state healthcare programs.
  3. If your insurance status changes, you must notify us immediately.
  4. This offer is not valid for medicines that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs, which reimburse you for the entire cost of your prescription drugs.
  5. CoverOne may provide Co-Pay Assistance to eligible TEPMETKO patients up to $15,000 per calendar year. Enrolled patients are responsible for all co-pays and any other balances not covered by the CoverOne Co-Pay Assistance Program.
  6. The value of this program is exclusively and entirely for the benefit of enrolled patients.
  7. Cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified medicine. This offer is not health insurance.
  8. The CoverOne Co-Pay Assistance Program offer is good only in the United States and US Territories. Patient must be a US resident.
  9. The CoverOne Co-Pay Card is only available at participating pharmacies.
  10. EMD Serono, Inc. reserves the right to rescind, revoke, or amend the program without notice at any time.
  11. No membership fees.
  12. The Co-Pay Assistance Program offer is limited to 1 per person during this offering period and is not transferable.
  13. Expiration date: 12/31/2025.
  14. The CoverOne Co-Pay Assistance Program is not available where prohibited by law.

©2024 Merck KGaA, Darmstadt, Germany or its affiliates. All rights reserved. EMD Serono is the Healthcare business of Merck KGaA, Darmstadt, Germany, in the U.S. and Canada. BAVENCIO, TEPMETKO and CoverOne  are registered trademarks of Merck KGaA, Darmstadt, Germany or its affiliates.

COOKIE SETTINGS

US-MULO-00096     06/24

©2024 Merck KGaA, Darmstadt, Germany or its affiliates. All rights reserved. EMD Serono is the Healthcare business of Merck KGaA, Darmstadt, Germany, in the U.S. and Canada. BAVENCIO, TEPMETKO and CoverOne  are registered trademarks of Merck KGaA, Darmstadt, Germany or its affiliates.

COOKIE SETTINGS

US-MULO-00096     06/24

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit http://www.fda.gov/medwatch, or call 1-800-FDA-1088. The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. The product information provided in this site is intended only for residents of the United States. The products discussed herein may have different product labeling in different countries.

You are about to leave the CoverOne website and are being redirected to a non-CoverOne website. EMD Serono does not review nor control the content of the following website. This redirection does not constitute an endorsement by EMD Serono of the following organization or any information provided by the organization.

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