Co-Pay Program and Reimbursement Assistance

Octapharma Co-Pay Assistance Program

The Octapharma Co-Pay Assistance Program can provide eligible patients with significant savings on some of the costs associated with their fibryga treatment. If you have patients currently being treated with fibryga, or if you’re about to begin therapy, our co-pay program can offer them savings of up to

Find out if your patients are eligible for the Octapharma Co-Pay Assistance Program by calling 1-800-554-4440 


Octapharma Co-Pay Assistance Program Eligibility and Coverage

  • Your patient must currently be using fibryga, or have a prescription to begin therapy
  • Your patient must have commercial insurance
    • Those with Medicare, Medicaid, Medigap, VA, DOD, Tricare or other federal or state government insurance are not eligible
  • Co-Pay assistance may only be applied to co-payments, deductibles and co-insurance that may be associated with the cost of Octapharma products
    • The Octapharma Co-Pay Assistance Program does not cover costs associated with administration of therapy, such as office visits, infusion costs, or other professional services

3 Steps to Enroll

  1. Download, complete, and sign the fibryga co-pay assistance form

  2. The prescribing healthcare provider writes a prescription for fibryga therapy

  3. Lastly, the prescribing healthcare provider faxes the completed forms and fibryga prescription to Program Administrator, Covance at 1-800-554-6744

What Happens Next?

  • Program Administrator reviews documents to ensure patient meets program criteria
  • Program Administrator processes completed fibryga co-pay assistance forms
  • Patient is administered fibryga under the care and supervision of a healthcare provider

Reimbursement Assistance

Do you need help getting reimbursed for fibryga prescriptions? Contact the Octapharma Support Center and be connected to an Octapharma representative who can help resolve your reimbursement matters. Our representatives are ready and equipped with expert advice and information to answer your questions about

  • Insurance matters including individual claims processing reviews
  • Assistance in appeals
  • Insurance investigations into product coverage
  • Gaining approvals for prior authorizations for fibryga

Get help with reimbursement by calling the Octapharma Support Center at 1-800-554-4440