Evenity Prescription Assistance Programs

Evenity: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Evenity. 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?

Amgen Safety Net Foundation

(Program 1 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
  • Evenity (romosozumab-aqqg)
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 May 14, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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Amgen FIRST STEP Co-Pay Support

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

Provided by: Amgen, Inc.
None
TEL: 888-657-8371
FAX: 888-653-2972
Languages Spoken:
English, Others By Translation Service
Program Website
Program Applications and Forms
Medications
  • Evenity (romosozumab-aqqg)
Eligibility Requirements
  • Insurance Status Must be commercially insured
  • Those with Part D Elibible? No
  • Income Not Required
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be a US citizen.
Application
  • Obtaining Patient/Doctor must call to register and enroll
  • Receiving Not applicable
  • Returning The completed application's destination is not applicable
  • Doctor's Action Enroll in program, complete form and obtain patient consent
  • Applicant's Action Call to enroll
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not applicable
  • Sent To Card sent to doctor's office or to patient's home
  • Delivery Time Not specified
  • Refill Proces Doctor/Doctor's office must contact the Program
  • Limit None
  • Re-application Card is valid for the enrolled patient's entire course of treatment
Additional Information
Health Care Providers must enroll in the program prior to processing the Amgen FIRST STEP Program Cards The card is valid for the patient's entire course of treatment. Eligible patients may re-enroll at any time a new course of treatment is initiated.
Updated April 25, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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