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Reimbursement Support, Coverage, Financial and Affordability Solutions

  • $0 Co-Pay Program*: Eligible commercially insured patients can pay as low as $0 per prescription, regardless of income. (Up to $12,000 in co-pay assistance per year.)
  • Click here to download the form to submit a $0 prescription claim under you patient's medical benefit

    Click here to enroll

  • Jivi Reimbursement for Lab Testing*: Eligible patients can receive up to $250 per year to offset out-of-pocket costs for laboratory testing of Jivi
  • Free Trial Program‡§: Talk to your patients about requesting a Free Trial of Jivi with vial adapter
  • Patient Loyalty Program†§: Eligible patients can receive Jivi at no cost if they experience gaps or changes with insurance coverage
  • Live Helpline Support: You or your patients can call for answers to any insurance coverage questions

Jivi is covered for 99% of patients nationally.*

  • Co-pay program support is available for up to 1 year. Can include any out-of-pocket prescription costs, such as co-pay and co-insurance.
  • Patients who are enrolled in any type of government insurance are not eligible. Bayer reserves the right to rescind, revoke, or amend this offer without notice at any time.
  • Participation in the Jivi Free Trial Program is limited to 1 time only per product (patients currently using Jivi are not eligible for a Free Trial of their current product). The Free Trial Program includes 1 month supply up to a maximum of 40,000 IU. The Free Trial Program for Jivi is available to patients 12 years of age and older. Bayer reserves the right to rescind, revoke, or amend this offer without notice at any time.
  • The medication provided through this program is at no cost to the patient and is not contingent on future use of this medication. Reselling or billing any third party for free product provided by this program is prohibited by law.
  • Formulary status is believed to be accurate as of March 1, 2021 but cannot be guaranteed. Formulary status for national plans may not reflect plan variation at the local level. Lower co-pay costs do not necessarily reflect a cost advantage in the outcome of the condition treated because there are other variables that affect relative cost. Formulary status does not imply a comparison of efficacy, safety, or dosing.
  • Jivi coverage includes pharmacy and medical lives across commercial (99%), fee-for-service Medicaid (100%), Managed Medicaid (100%) & Medicare Advantage (100%). Percentage represents the coverage within the book of business. n=1,635, 51, 366, 835