Aimovig Patient Assistance Programs

Aimovig: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Aimovig. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Aimovig Ally Support Program

(Program 1 of 2 — Scroll down to see them all )

Provided by: Amgen, Inc., and Novartis Pharmaceuticals Corporation
PO Box 2953 Phoenix, AZ 85062-2953
TEL: 833-246-6844
FAX: 833-873-1499
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Aimovig (erenumab-aooe)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Determined case by case
  • Income Varies
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be residing in the US or US territory
Application
  • Obtaining Doctor/Doctor's office must call or download
  • Receiving Faxed to Doctor's office
  • Returning Fax, mail or submit online (Note: faxed prescriptions are only valid if faxed directly from a prescriber's office)
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and/or Doctor are notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Varies
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Varies
Additional Information
Patient must sign the enrollment form to give the program permission to access their financial information in order to determine eligibility. This program also provides copay assistance.
Updated September 28, 2018

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Amgen Safety Net Foundation

(Program 2 of 2 — Scroll down to see them all )

Provided by: Amgen, Inc.
None
TEL: 888-762-6436
Languages Spoken:
English, Spanish
Program Website
Program Applications and Forms
Medications
  • Aimovig (erenumab-aooe)
Eligibility Requirements
  • Insurance Status Must be uninsured or underinsured
  • Those with Part D Elibible? Varies
  • Income At or below 500% of FPL
  • Diagnosis/Medical Criteria *See Additional Information section below
  • U.S. Residency Required? Yes, must have lived in the US or its territories for 6 months or longer.
Application
  • Obtaining Call or download from Programs website
  • Receiving Mailed or downloaded from website
  • Returning The completed application must be faxed or mailed from the doctor's office.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section and sign
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Amount requested is sent
  • Sent To Address of shipment varies by medication
  • Delivery Time Varies
  • Refill Proces Determined on a case by case basis
  • Limit Not specified
  • Re-application Varies
Additional Information
Please visit www.SafetyNetFoundation.com for more information or visit www.AmgenAssist360.com for product information. * Diagnosis is required if patient has insurance.
Updated September 28, 2018

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