Co-Pay Assistance Program
Access and support through OnePath®
- Patients 18 years of age and older with commercial insurance may be eligible for the OnePath Co-Pay Assistance Program.*
- This program will help cover the cost of insurance co-pays for FIRAZYR at 100% for eligible patients, up to the program maximum.
- There are no financial requirements or waiting periods to participate in this program.
*IMPORTANT NOTICE: The OnePath Copay Assistance Program (the Program) is not valid for prescriptions eligible to be reimbursed, in whole or in part, by Medicaid, Medicare (including Medicare Part D), Tricare, Medigap, VA, DoD, or other federal or state programs (including any medical or state prescription drug assistance programs). No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third party payer, whether public or private. The Program cannot be combined with any other rebate/coupon, free trial, or similar offer. Copayment assistance under the Program is not transferable. The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your insurance provider. If your insurance situation changes you must notify the Program immediately at 1-866-888-0660. Coverage of certain administration charges does not apply for patients residing in Massachusetts, Michigan, Minnesota, Rhode Island, and Vermont. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice. Additional program restrictions and eligibility requirements apply.
Getting your patients started on FIRAZYR with OnePath
Download the Start Form for FIRAZYR.
Complete and fax the OnePath Start Form for FIRAZYR to 1-855-ONEPATH (1-855-663-7284).