HEALTHCARE PROFESSIONAL SITE
Save on Your OFEV Capsules Prescription

If you need help paying for your
OFEV® (nintedanib) prescription, there are programs available to assist you. If you are eligible, you may pay as little as $0 for a monthly supply of OFEV capsules. The programs are available to help you with your out-of-pocket costs (such as copay or deductibles) for your OFEV. Additionally, if you have commercial pharmacy insurance, there is nothing for you to fill out. No forms to complete. Your doctor provides your Specialty Pharmacy with the information they need. They take it from there.

HOW OFEV REIMBURSEMENT SUPPORT WORKS

With OFEV reimbursement support, there are a few ways to save on your
OFEV prescription.

The OFEV commercial copay Program

If you have commercial insurance, you may be eligible for the OFEV Commercial Copay Program. The Specialty Pharmacy will determine if you are eligible when they are processing your prescription drug claim (benefits verification process).

With the OFEV Commercial Copay Program:

  • There is no card to carry or worry about. The program is managed by the Specialty Pharmacy. Your eligibility is determined by the Specialty Pharmacy during the benefits verification process.
  • You must be re-enrolled every 12 months. Your enrollment and re-enrollment are completed by the Specialty Pharmacy.

Assistance through foundations

  • Patients who have government-funded pharmacy benefits, such as Medicare Part D, may be eligible for copay assistance through independent foundations. Your Specialty Pharmacy will be able to assist you with identification of copay assistance foundations.
  • To qualify, you must have an income below a designated percentage of the federal poverty level. This figure may be different with each foundation. If you qualify, the foundation will usually provide funds to assist with your out-of-pocket costs.
  • Foundations typically require an application and proof of income. Eligibility requirements vary among charitable foundations.
  • For more information about copay assistance foundations and the support they
    offer, speak to your Specialty Pharmacy or call OPEN DOORS™ at 1-866-OPENDOOR (1-866-673-6366)
Boehringer Ingelheim Cares Foundation ...more health

Boehringer Ingelheim (BI) Cares Foundation
Patient Assistance Program (PAP)

Patients without pharmacy benefits coverage for OFEV may be eligible to receive assistance through the BI Cares Foundation Patient Assistance Program. The program helps those in need obtain BI medicines free of charge. Patients must be residents of the United States who meet program eligibility requirements.

Click here to visit the Boehringer Ingelheim Cares Foundation Patient Assistance Program website.

FAQS ABOUT OFEV REIMBURSEMENT SUPPORT

How will the OFEV Commercial Copay Program be made available?
Your eligibility will be determined during the benefits verification process by the Specialty Pharmacy.

Will I have to present a card or coupon to the Specialty Pharmacy?
There is no card, coupon, or paperwork to provide. As long as you continue to meet the eligibility requirements, you will receive OFEV for $0 per month up to a monthly cap of $10,000.

How can I enroll in the OFEV Commercial Copay Program?
Your Specialty Pharmacy will enroll you in the copay program initially and then re-enroll you after you have received OFEV for 12 consecutive months. You must continue to meet the OFEV Commercial Copay Program requirements to stay eligible.

Who is not eligible for the OFEV Commercial Copay Program?
Patients covered by any form of governmental paid insurance (Medicare, Medicaid, Tricare, etc) are not eligible for the program. Also, cash-paying patients will not be eligible. Patients must have commercial insurance to be eligible for the program.

What if I need additional financial assistance?
Patients may be eligible to receive OFEV through the BI Cares PAP. The
OPEN DOORS™ patient support network can assist in pre-screening your eligibility and can assist in enrollment in the BI Cares PAP.

Additional financial support may also be provided through a copay assistance foundation. Call your Specialty Pharmacy for help identifying a foundation that provides funding to patients with IPF and assistance with determining eligibility.

If you need additional assistance, please call OPEN DOORS™ at
1-866-OPENDOOR (1-866-673-6366).

Will the OFEV Commercial Copay Program work if I have insurance coverage that has a prior authorization or step edit on OFEV?
Yes, the Specialty Pharmacy will process all step edit and prior authorization claims. If there is any delay in the benefits verification process, the Specialty Pharmacy will
contact you.

Will the OFEV Commercial Copay Program work with Health Insurance
Exchange plans?

Yes. The OFEV Commercial Copay Program works with Health Insurance
Exchange plans.

If I start on OFEV 150 mg capsules and require a lower dose, will there be a gap
in coverage?

If the Specialty Pharmacy identifies a gap in coverage due to your doctor changing your dose, you may receive a 15- or 30-day supply of OFEV so you can continue treatment until your next refill. Then, your coverage benefits will resume.

Will I need to pay an additional copayment the month a dose modification occurs?
If you have commercial insurance, you may receive a 15- or 30-day supply of OFEV at the modified dose free of charge so you can continue treatment until your next refill. At that time, your coverage benefits will resume.

What if I receive a damaged product or lose my medication?
Call your Specialty Pharmacy for any questions or concerns regarding damaged or lost medication. The Specialty Pharmacy will then work directly with BI Connect to solve
the problem.

Is there a phone number that I should call to find out about my coverage?
Simply call your Specialty Pharmacy for all questions regarding your healthcare coverage.

How can I receive additional patient support materials?
For additional copies of any support materials, call OPEN DOORS™ at
1-866-OPENDOOR (1-866-673-6366).

What if I do not receive my OFEV
Starter Kit?

If you do not receive a Starter Kit with the first delivery of your medication, call your Specialty Pharmacy.

How can I receive replacement OFEV Starter Kit materials?
For additional copies of materials within the Starter Kit, call OPEN DOORS™ at
1-866-OPENDOOR (1-866-673-6366).

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