CoverOne includes a patient assistance program that provides BAVENCIO® (avelumab) at no charge for patients who meet certain income, insurance (i.e. uninsured), and residency eligibility criteria.
To determine patient eligibility, providers should complete and submit the CoverOne BAVENCIO Enrollment Form prior to treatment. Patient assistance is not applied retroactively.
A CoverOne representative will notify you as soon as possible with the patient's eligibility determination.
Please include the most recent tax return (e.g., IRS Form 1040) if applying for the Patient Assistance Program.
NOTE: The CoverOne patient assistance program is a philanthropic program for patients in need, and is not contingent on any past or future commercial sale.
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