LUMIZYME

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your LUMIZYME prescription

• Rx Advantage Card
• Drug Coupons
• Patient Assistance Programs
• Canadian Prescription Savings

Applicability to each program will be dependent on your insurance status.

After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.

• Rx Advantage Card
• Drug Coupons
• Patient Assistance Programs
• Canadian Prescription Savings

Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.

*This is not insurance.

No. Each program has applicability requirements. Please see below

*This is not insurance.

If you are insured with Medicare and the LUMIZYME drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.

If you are denied Medicaid for LUMIZYME, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

If you are uninsured or underinsured (for example, LUMIZYME is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

If you are denied and all else fails, and if you have been prescribed LUMIZYME for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

If your medication is not covered by your plan, you can you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.

If you cannot afford your copay, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.