Are you eligible for savings?
To find out, call Olumiant Together at 1-844-OLUMIANT (1-844-658-6426) Monday - Friday between 8 AM and 10 PM ET. A Companion in Care will be able to answer your questions.
*Terms and Conditions:
This Card expires on 12/31/2024. Patients must first use their card by 12/31/2021 and are eligible for savings for up to 36 months of therapy, provided they continue to meet program terms and conditions. Patient must have coverage for Olumiant with their commercial drug insurance to pay as little as $5 monthly for a 30-day supply of Olumiant, subject to a monthly cap of wholesale acquisition cost plus usual and customary pharmacy charges and a separate $12,000 maximum annual cap. Patients with commercial drug insurance that are denied coverage after a prior authorization (PA) for Olumiant may be eligible to pay as low as $25 monthly for a 30-day supply, subject to monthly and annual cap of wholesale acquisition cost plus usual and customary pharmacy charges. Continued participation in $25 monthly program requires appeal submission and decision within 6 months post program initiation and a new PA or medical exception (ME) every 12 months, to verify coverage status and potential eligibility for the $5 monthly program. Participation in the program requires a valid patient HIPAA authorization. Patient is responsible for any applicable taxes, fees, or amounts exceeding monthly or annual caps. This offer is invalid for patients without commercial drug insurance or those whose prescription claims are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE®/CHAMPUS, or any state patient or pharmaceutical assistance program. Offer void where prohibited by law and subject to change or discontinue without notice. Card activation is required. Subject to additional terms and conditions, which can be found here.