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Jun 6, 2024 · Amgen Safety Net Foundation (ASNF) is a nonprofit patient assistance program that helps patients with financial need gain access to Amgen medicines at no cost.
How to apply. Select a medication below to learn about our screening process. Questions? Visit our Resources section or Contact us. Download patient applications and learn about the steps in applying for Amgen medicines at no cost.
If you are a low-income patient, apply to your local Medicaid ofice for healthcare insurance and where applicable, Medicare’s low-income subsidy (Extra Help). If denied, submit this support documentation.
If you are uninsured or underinsured, Amgen ® Safety Net Foundation is a nonprofit patient assistance program sponsored by Amgen ® that helps qualifying patients access Amgen medicines at no cost.
1-844-269-3053. If you do not have access to a fax machine, please mail documents to the Amgen Patient Assistance Program for Otezla at P.O. Box 503227 , San Diego, CA 92150 If you have any questions regarding this application, please call us at . 1-855-554-9168. , Monday–Friday, 8:00. AM. –8:00. PM. ET.
Select your medication to get started. Please see full Prescribing Information for Amgen® products. Amgen® SupportPlus offers a range of support programs for both patients and healthcare professionals. See how we could help you with our resources.
For assistance in completing this application, please call 1-888-SN-AMGEN (1-888-762-6436). Submission of this form is required to begin enrollment of a patient in The Safety Net Foundation sponsored by Amgen. Information supplied on this form will be strictly confidential. Patient Information:
patient assistance program that helps qualifying patients access Amgen medicines at no cost. v24-Apr-2022 • PO Box 18769, Louisville, KY 40261-7821 • Phone: 1-888-762-6436 • Fax: 1-866-549-7239 • amgensafetynetfoundation.com
Access to Healthcare. U.S. Reimbursement Support Services and Financial Assistance Programs. Questions? Select your medication below and give us a call at the corresponding number. We’ll be happy to help. Please visit amgensupportplus.com for more information. ACTIMMUNE ®. (844) 469-4297. AIMOVIG ®. (833) 246-6844. AMJEVITA ™. (888) 826-5384.
After a final denial has been received, ASNF may provide a retro 6-month replacement of product. • If you are a low-income patient, apply to your local Medicaid ofice for healthcare insurance. How to apply. STEP 1 Complete all sections of the. PATIENT APPLICATION (pages 1-3).
