Frequently asked questions
Is there a limit to the Oncology $0 Co-Pay Program?
If you have private, commercial health insurance and are not currently enrolled in the Access Services by Bayer™ Commercial Co-Pay Assistance Program, the program covers 100% of co-pay up to $25,000 per year, per patient. Patients who are enrolled in any type of government insurance or reimbursement programs are not eligible. Please note that Bayer reserves the right to modify or discontinue the Oncology $0 Co-Pay Program at any time.
What happens if I exceed the $25,000 per year limit?
If you exceed $25,000 per year, Access Services by Bayer will assess your situation and determine whether or not you qualify for enrollment in a Patient Assistance Program. If you have difficulty affording the remaining out-of-pocket expense, contact Access Services by Bayer to learn more about Patient Assistance Programs that may be available to you by phone at 1-800-288-8374.
I fill my NEXAVAR prescription through a Specialty Pharmacy. How will the Oncology $0 Co-Pay Program work for me?
If you go directly to a Specialty Pharmacy, the Specialty Pharmacy will work to determine your eligibility for the Oncology $0 Co-Pay Program. They have the ability to enroll you in the co-pay program when processing your payment, should you qualify.
I fill my NEXAVAR prescription at a self-dispensing pharmacy. How will the Oncology $0 Co-Pay Program work for me?
If you go directly to a Self-Dispensing/Hospital Pharmacy, the Pharmacy will help connect you with an Access Services by Bayer Service Counselor to see if you qualify for the Oncology $0 Co-Pay Program. The Access Services by Bayer counselor will also ensure that the Self-Dispensing/Hospital Pharmacy fills your prescription.
I am a Medicare patient with private commercial secondary insurance. Would the Oncology $0 Co-Pay Program be applied to my remaining deductible?
No, the Oncology $0 Co-Pay Program is for commercially insured patients only. If you are enrolled in Medicare, Medicaid, or any other government-funded program, you are not eligible for the Oncology $0 Co-Pay Program. However, for patients who cannot afford their prescription medication costs, Access Services by Bayer Service Counselors can provide information on independent charitable organizations that may be able to help with out-of-pocket costs.
What if I am already enrolled in Access Services by Bayer?
The Oncology $0 Co-Pay Program is for commercially insured patients who have never been enrolled in the Access Services by Bayer Commercial Co-Pay Assistance Program. If you are currently enrolled in the income-based tiered program, you will remain on this program until your enrollment expires. When your annual enrollment expires, you will then be eligible for the Oncology $0 Co-Pay Program.
What if I need a prior authorization for my medication?
If your insurer requires a prior authorization (PA), the PA must be approved before you can enroll in the Oncology $0 Co-Pay Program. In the meantime, contact Access Services by Bayer to see if you are eligible for temporary assistance so that you can start your therapy right away.