Repatha Patient Assistance Programs

Repatha: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Repatha. 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 1 — 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
  • Repatha (evolocumab)
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

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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