Patients with commercial or private insurance may be eligible for $0 co-pays

Upon successful enrollment, eligible patients with commercial or private insurance—and not covered by government insurance—will receive the following:

• $0 co-pay per fill of Acthar (see Terms and Conditions below)
• Streamlined enrollment during the Acthar welcome call
• Electronic processing by the Specialty Pharmacy

Inform patients about the Acthar Commercial Co-pay Program. Let them know they can expect a call from their Hub Case Manager to discuss program eligibility.

Patients who do not qualify for this program may call the Hub toll-free at 1-888-435-22841-888-435-2284 and speak to their Case Manager to learn if other assistance options may be available.

Terms and Conditions:

• The Acthar Commercial Co-pay Program provides drug co-pay assistance of up to $25,000 per calendar year for each eligible patient
• This program is valid for eligible privately and commercially insured patients. Uninsured patients are not eligible for this program
• This program is not valid for prescriptions for which payment may be made in whole or in part under federal or state health programs, including, but not limited to, Medicare or Medicaid, or where prohibited by law
• Patient must have a valid Acthar prescription for an FDA-approved, on-label indication
• Patient must be a permanent US resident. This program is not valid outside of the United States
• Patient (or patient’s legal representative) must be 18 years of age or older to opt in to program
• This program offer is limited to 1 membership per person and is not transferable
• Patients should consult their insurance provider concerning any limitations that may apply to this program under their insurance policy
• This program does not constitute prescription drug coverage or insurance and is not intended to substitute for such coverage
• Patients are responsible for any co-payment or coinsurance costs above and beyond the program’s annual maximum benefit
• Absent a change in Massachusetts law, effective July 1, 2019, the Acthar Commercial Co-pay Program will no longer be valid for residents of Massachusetts
• Mallinckrodt ARD, Inc. reserves the right to terminate or modify this program at any time without notice