FAQs

Do I need to activate my card before it can be used? If yes, what is the activation number for this offer?	N/A; there is no activation required.
I am unable to enroll in the program, who can complete the enrollment process on my behalf?	Please call the Bayer Enrollments Concierge Team (FFO) at 1-800-288-8374 for enrollment support.
Can this offer be used for prescriptions reimbursed under Medicaid, Medicare, TRICARE, or any prescription drug benefit plan?	No. If you are eligible for drug benefits under any such federal or state drug assistance programs, you cannot use this offer.
I have Medicare/Medicaid/Tricare, but my prescriptions are covered under a commercial plan, can I use this offer”?	Yes, this offer is available to commercially insured and covered patients.
If I am enrolled in Obamacare or Qualified Health Plans, am I eligible to use this offer?	This offer is available to patients covered by Qualified Health Plans issued by Federal or State Exchanges created under the Affordable Care Act. Independent verification of offer availability by the healthcare provider is required for non-Qualified Health Plans issued by the Exchanges.
I am a cash paying patient, can I use this offer?	No, this offer is not available to cash paying patients.
I have commercial insurance, but Jivi or KOVALTRY is not covered by my plan, am I considered to be an insured or cash paying patient?	If you have commercial insurance, but this product is not covered by your plan, you are considered cash paying and are not eligible for this offer.
I am under 18 years of age. Is my policy holder for my insurance eligible to participate in this program?	Yes, the insurance policy holder is eligible to participate in this program.
If I do not have a prescription for Jivi or KOVALTRY, can I still enroll in the $0 Co-pay Program?	No. The $0 Co-pay Program is for use ONLY with a valid prescription.
Is there a maximum amount the offer will cover per use?	No – the max benefit amount for the $0 Co-pay Program is $20,000 per calendar year.
Can I use more than one offer?	No. Only one offer for each drug.
Can I use this offer if I have deductibles that I haven’t met?	Yes, you may use this offer even if you haven’t met your deductible on your primary insurance.
Can I continue to use this offer as long as I am on Jivi or KOVALTRY?	Bayer Pharmaceuticals also reserves the right to discontinue or modify the program at any time.
Can I use this offer for mail order purchases?	Yes, this offer can be used for mail order purchases.
If my mail order pharmacy doesn’t accept this offer, can I mail in for a reimbursement?	Yes. You can get your savings via a rebate check after you have purchased your Jivi or KOVALTRY prescription via mail order. In order to receive your check, please provide the following information: The 11-digit ID# and GRP# that is found on the $0 Co-pay program card or a photocopy of the card. A proof of purchase (original pharmacy receipt with pharmacy name, product name, prescription number or Rx#, date filled, quantity, and the price) If applicable, provide a legible photocopy of the front of your primary insurance card or provide the name of your primary insurance along with BIN and PCN information found on the card Your name, address, city, state, zip, phone number, DOB, and the out of pocket payment Mail all of this information to: $0 Co-pay Program Claims Processing Dept. PO Box 2355 Morristown, NJ 07962
How do I opt out of future programs?	Send patient email address to ITServiceDesk@Bayer.com

Eligible patients may pay as little as $0 and save up to $20,000 per year. Patients who are enrolled in any type of government insurance or reimbursement programs are not eligible. As a condition precedent of the co-payment support provided under this program, e.g., co-pay refunds, participating patients and pharmacies are obligated to inform insurance companies and third-party payers of any benefits they receive and the value of this program, and may not participate if this program is prohibited by or conflicts with their private insurance policy, as required by contract or otherwise. Void where prohibited by law, taxed, or restricted. Patients enrolled in the Bayer US Patient Assistance Foundation are not eligible. Bayer may determine eligibility, monitor participation, equitably distribute product and modify or discontinue any aspect of the $0 Co-pay Program at any time, including but not limited to this commercial co-pay assistance program.

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