Contact info
- Phone
- 1-800-456-2255
Eligibility
- Call program for pre-screening.
- For patients who are uninsured or underinsured, the program will research possible assistance programs for you.
- For Government insured patients, program will check to see if patient is eligible for alternative government insurance programs.
- Patients with commercial insurance may be eligible for the Biogen Copay Program.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Not published
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- Not published
- Who can sign
- Not published
- Application can be faxed
- Not published
- Decision letter sent to
- Not published
Getting the medication
- Patient receives
- Varies
- Shipped to
- Not published
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Avonex (interferon beta-1a)
- Plegridy Injection (peginterferon beta1a)
- Tysabri Vial (natalizumab)
- Vumerity (diroximel fumarate)