Copay Program

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Select the therapeutic area for which the script is written:

  • Rheumatoid Arthritis (RA)
  • Psoriatic Arthritis (PsA)
  • Ankylosing Spondylitis (AS)
  • Polyarticular Juvenile Idiopathic Arthritis (JIA)
  • Uveitis (UV)
  • Plaque Psoriasis (Ps)
  • Hidradenitis Suppurativa (HS)
  • Crohn’s Disease (CD)
  • Pediatric Crohn’s Disease (Ped CD)
  • Ulcerative Colitis (UC)
  • Pediatric Ulcerative Colitis (Ped UC)
    Date Of Birth (mm/dd/yyyy):    

    In Massachusetts, co-pay assistance is not available for products with certain generic equivalents (for example, any product with an AB-rated generic equivalent).

    Available to patients with commercial prescription insurance coverage. This program is not valid for prescriptions reimbursed under Medicare (including Part D), Medicare Advantage, Medicaid, Medigap, Veterans’ Affairs, the Department of Defense, TRICARE, or similar federal, state, or government-funded insurance plans, or where prohibited by law.

    The Patient can call 1-800-448-6472 to obtain additional information about this program or to stop participation.

    64S-751711