Adbry™ Rapid Access™ Program
Our goal is for your eligible, commercially insured patients to receive a free initial dose within approximately 48 hoursb,c,d
Your eligible patients can access Adbry patient support programs by calling 844-MYADBRY (844-692-3279)
from 8 ᴀᴍ–8 ᴘᴍ ET
Or, for eligible patients who qualify, download and fill out the Enrollment and Prescription Form and then fax to: 855-423-0011
The Adbry™ Advocate™ Program provides coverage and insurance support for patients who qualify, restrictions apply
LEO Pharma is committed to helping ensure that patients can access and initiate therapy when prescribed Adbry, including through the Adbry™ Advocate™ Program. See Full Terms, Conditions, and Eligibility Rules. For eligible patients, the Program consists of:
Adbry™ Bridge Care™ Program
Eligible, commercially insured patients may receive free drug for up to 2 years or until commercial access is secured, whichever happens earlierc,d
Nurse Advocates
Nurse Advocates can provide eligible patients with individualized support, education, and injection training through their treatment journeyc
Adbry™ Copay Program
With the Adbry™ Copay Program, eligible commercially insured patients may pay as little as $0* copay per fill of Adbry™
Adbry™ Patient Assistance Program
Eligible patients with demonstrated financial need and with limited or no prescription coverage may be able to receive therapy without charge via the Adbry™ Patient Assistance Programc,e
b
The initial dose of Adbry may be shipped either to your office or the patient, after submission of a completed Enrollment and Prescription Form. A Nurse Advocate must coordinate shipment to a patient, which may extend delivery time. Patients who have been initiated on therapy with samples are not eligible for Rapid Access product.
c
Additional terms, conditions and eligibility rules apply. Enrollment in Adbry Advocate is not required to obtain copay support. For all other patient support programs, submission of a completed Enrollment and Prescription Form is required. Patient or health care provider may not seek reimbursement for the benefit received from any party. LEO Pharma reserves the right to rescind, revoke or amend the Program and discontinue support at any time without notice.
d
Patient is not eligible for the Program if enrolled in any federally or state funded health care program, including but not limited to Medicare (including Medicare Part D), Medicaid, VA, DOD, TRICARE or CHIP.
e
Income eligibility requirements apply. Patient may be required to submit documentation of income and insurance coverage status
*
Program has an annual cap. Program may not be combined with any third-party rebate, coupon or offer.
Patient Access Support Kit
Download suggested best practices and letter templates for appealing denials of prior authorizations