Start saving on ODOMZO®
Co-pay assistance for commercially insured patients
- To activate this card, call 1-877-ODOMZO-1 (1-877-636-6961) or visit www.activatethecard.com/7436
- Present card to pharmacy
- Patients who are members of health plans (often termed "maximizer" plans) that claim to reduce their patients' out-of-pocket costs will have a reduced maximum program benefit of $6,000 per calendar year. Out-of-pocket costs may be co-pay, co-insurance, or deductible. Limitations apply. See full terms and conditions below. This offer is not valid under Medicare, Medicaid, or any other federal or state program. We reserve the right to rescind, revoke, or amend this program without notice
Terms and Conditions
To participate in the ODOMZO® (sonidegib) Co-Pay Program ("Program"), you must present this card, along with a valid prescription for ODOMZO, to your pharmacist. Patients with commercial health insurance who qualify to participate can pay as little as $10 per month for ODOMZO. Enrollment is subject to the Eligibility Rules and Terms and Conditions, stated below. If you have any questions regarding Eligibility, the Terms and Conditions, or to discontinue participation, please call 1-877-ODOMZO-1 (1-877-636-6961) (8:00 AM-8:00 PM EST, Monday-Friday).
Eligibility Rules
- To participate in this Program, you must have commercial health insurance and be a resident of the United States, Puerto Rico, Guam, or the Virgin Islands
- Patients who are members of health plans (often termed "maximizer" plans) that claim to reduce their patients' out-of-pocket costs may have a reduced maximum program benefit of $6,000 per calendar year. Out-of-pocket costs may be co-pay, co-insurance, or deductible
- The following patients are ineligible for this Program:
- Patients covered under Medicaid (including Medicaid patients enrolled in a Medicaid Managed Care Plan or a qualified health plan purchased through a health insurance exchange marketplace established by a state government or the federal government)
- Patients covered by Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered)
- Patients covered by TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program
- Patients who are members of health plans that claim to eliminate their out-of-pocket costs are not eligible for cost support. If you are a member of one of these plans, please call 1-877-264-2440
- Patients with no insurance
Terms and Conditions
- You agree not to seek any reimbursement for all or any part of the co-pay assistance received through the Program. By using this card, you are certifying that you understand the Eligibility Rules and Terms and Conditions, that you have responded truthfully to questions when activating the card, and that you will disclose and report your receipt of any Program benefits to your insurer, health plan, or any third party that pays or reimburses you for the cost of medications, if required
- This offer may be rescinded, revoked or cancelled at any time without further notice, and the rules may be amended at any time without further notice
- This Program is not insurance
- The Program is void where prohibited by law, taxed, or restricted. Any benefit provided is not transferable and cannot be combined with any other program, free trial, discount, prescription savings card, or other offer. No purchase, other than for an ODOMZO prescription, is required to participate
- Personal data that you provide to the Program may be collected, analyzed, and shared with the program sponsor for market research and other lawful purposes but only in aggregated and de-identified form
Patient Assistance Program
If you are unable to afford the cost of your medication, you should explore support options offered by foundations that are available to assist.
If you have Part D and are unable to afford the cost of your medication, you should explore CMS' LIS, the Extra Help Program or state programs.
If none of these options provide the financial support needed, you may be eligible for the Patient Assistance Program. Along with your provider, you will need to complete the application and submit all required documents to ODOMZO SUPPORT™ to determine eligibility.
Commercially insured patients may be eligible for the ODOMZO Co-pay Card Program. Click here to read more.
Publicly insured and uninsured patients may be eligible for a referral to nonprofit foundations for assistance.
Once your doctor submits your application, a program coordinator will then evaluate if you are eligible for financial assistance. (Qualified patients must meet certain medical and financial criteria.)
If you have any questions or need assistance, please contact your specialty pharmacy or provider for help.