$15,000 maximum
annual benefit per enrollment period
coding & Reimbursement
UDENYCA® has a
product-specific
UDENYCA® has a
product-specific
Q-Code: Q5111
Treatment Approval Process
The Coherus COMPLETETM Co-Pay Assistance Program provides for $0 out-of-pocket cost for each UDENYCA® dose. Our program can help eligible patients* who are commercially insured with out-of-pocket costs for UDENYCA®.
-
No physical co-pay card required
The Co-Pay Assistance Program has a 180-day look back period. Patients with commercial insurance, who have received UDENYCA in the past 6 months, may be eligible.
*Eligibility
Criteria:
- Must be prescribed UDENYCA® for a medically appropriate use
- Must have commercial health insurance that covers the medication costs of UDENYCA®
- Must not be covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicaid, Medicare Advantage, Medicare Part D, Veterans Affairs, the Department of Defense, or TRICARE
- Must not seek reimbursement amount received from Coherus from any third-party payers, including flexible spending accounts or healthcare savings accounts
If at any time a patient starts receiving coverage through a federal, state, or government-funded healthcare program, the patient will no longer be eligible for the program. The patient MUST contact Coherus COMPLETETM at 844-4-UDENCYA / 1-844-483-3692 to report the change in eligibility status.
Restrictions may apply and not valid where prohibited by law. Coherus may revise or terminate this program without notice at any time.
Co-Pay Assistance Program Brochure
DownloadFor assistance with the co-pay program, visit the Coherus COMPLETETM Provider Portal.
