Prescription Assistance Programs

► Prescription Assistance Programs for MS Disease-Modifying Therapies

► Other Nonprofit Resources

► Prescription Assistance Programs for Treating Relapses

► Prescription Assistance Programs for MS Symptom Management

Prescription Assistance Programs for MS Disease-Modifying Therapies

Aubagio^®

MS One to One
Phone: (855) 676-6326
Website: https://www.aubagio.com/ms-one-to-one

Avonex^®

Biogen Support Services
Phone: (800) 456-2255
Website: https://www.avonex.com/en_us/home/support-and-events/financial-information.html

Bafiertam^®

Banner Patient Support
Phone: (855) 322-6637
Website: https://www.bafiertam.com/#patient_resources

Betaseron^®

BetaPlus
Phone: (844) 788-1470
Website: https://www.betaseron.com/betaplus-support-program/financial-support

Briumvi^™

Briumvi Patient Support
Phone: (833)-BRIUMVI or (833) 274-8684
Website: https://briumvi.com

Copaxone^®

Shared Solutions
Phone: (800) 887-8100
Website: https://www.copaxone.com/shared-solutions

Extavia^®

Extavia Go Program
Phone: (866) 398-2842
Website: https://www.extavia.com/info/PatientSupport/Patient-support-program.jsp

Gilenya^®

Gilenya Go Program
Phone: (800) 445-3692
Website: https://www.gilenya.com/ms-pill/support

Glatiramer Acetate Injection

Viatris Advocate Co-pay Program
Phone: (844) 695-2667
Website: https://www.glatirameracetate.com/en/patient-support

Glatopa^®

GlatopaCare
Phone: (855) 452-8672
Website: https://www.glatopa.com/glatopacare/cost-assistance/

Kesimpta^®

Alongside Kesimpta
Phone: (855) 537-4678
Website: https://www.kesimpta.com/patient-support/resources

Lemtrada^®

Lemtrada Co-Pay Program

Phone: (855) 676-6326
Website: https://www.lemtrada.com/resources-and-support

Mavenclad^®

MS Lifelines
Phone: (877) 447-3243
Website: https://www.mslifelines.com/ms-support

Mayzent^®

Alongside Mayzent
Phone: (877) 629-9368
Website: https://www.mayzent.com/alongside-ms

Ocrevus^®

Ocrevus Connects
Phone: (844) 627-3887
Website: https://www.ocrevus.com/patient/support/connect-to-support.html

Plegridy^®

Biogen Support Services
Phone: (800) 456-2255
Website: https://www.plegridy.com/en_us/home/support-and-events/financial-information.html

Ponvory^®

Wellness Companion
Phone: (877) 227-3728
Website: https://www.ponvory.com/wellness-companion-program

Tecfidera^®

Biogen Support Services
Phone: (800) 456-2255
Website: https://www.biogenoptions.com/en_us/home/biogen-support-services/overview.html#biogensupportservices

Tysabri^®

Biogen Support Services
Phone: (800) 456-2255
Website: https://www.tysabri.com/en_us/home/join-biogen-support/join-biogen-support.html

Vumerity^®

Biogen Support Services
Phone: (800) 456-2255
Website: https://www.vumerity.com/en_us/home/biogen-support-services/support-coordinator.html

Zeposia^®

Zeposia 360 Support
Phone: (833) 937-6742
Website: https://www.zeposia.com/multiple-sclerosis/support-program-for-patients/

Other Nonprofit Resources

Additional nonprofit organizations may be able to provide copay assistance to help with the cost of MS medications. However, these groups have very limited funds available and may not be able to provide assistance at the time an individual applies.

HealthWell Foundation
www.healthwellfoundation.org
Phone: (800) 675-8416

Patient Access Network (PAN) Foundation
www.panfoundation.org
Phone: (866) 316-7263

Patient Advocate Foundation (PAF)
www.patientadvocate.org
Phone: (866) 512-3861

For additional prescription assistance resources, please call MSAA’s Helpline at (800) 532-7667, ext. 154 to speak with a Client Services Specialist.

Prescription Assistance Programs for Treating Relapses

Acthar^® Gel

Program name: Acthar Gel Patient Support
Phone: (877) 503-7746
Website: acthar.com/acthar-patient-support

Purified Cortrophin^® Gel

Program name: Cortrophin In Your Corner
Phone: (800) 805-5258
Website: cortrophin.com

IV Solu-Medrol^®

Solu-Medrol is a high dose of corticosteroids given by intravenous (IV) infusion in an inpatient or outpatient setting. This drug is not currently patented, so multiple brands (including generic brands) are available and these do not offer patient-assistance programs. Individuals will need to check with their insurance provider regarding coverage in an inpatient or outpatient setting. Uninsured individuals should check with the facility providing the infusion to see if it offers a financial-assistance program.

*Sometimes it may be decided that pulse steroids or an oral taper of steroids are needed after an initial dose of IV Solu-Medrol.

Intravenous Immunoglobulin Replacement Therapy (IVIG):

IVIG is an experimental relapse treatment given by IV infusion. Individuals with insurance should check with their insurance provider to see if this is covered. Uninsured individuals should check with the facility providing the infusion to see if it offers a financial-assistance program.

Plasmapheresis (Plasma Exchange):

Plasmapheresis or plasma exchange (PE) is an experimental process sometimes used when relapse treatment with steroids has not been effective. Blood is removed from the body, plasma is removed from the blood, and the remaining red and white blood cells are circulated back into the body. This procedure is performed in a medical setting. Individuals will need to check with their insurance provider to see if this is a covered procedure. Uninsured individuals should consult with the facility where they will receive PE to see if the facility offers a financial-assistance program.

Prescription Assistance Programs for MS Symptom Management

The symptom-management prescription assistance programs listed below are limited to medications that specify multiple sclerosis in their labeling.

Pseudobulbar Affect

• Nuedexta^®

Phone: (855) 468-3339
Website: www.nuedexta.com

Bladder Dysfunction

• Botox^® (also used to treat spasticity)

Phone: (800) 442-6869, option 4
Website: www.botoxreimbursement.us/

Walking

• Ampyra^®

Phone: (888) 881-1918
Website: www.ampyra.com/cost-patient-assistance