• The value of this Savings Card is limited to $100 per use or the amount of your co-pay, whichever is less for each of the 4 uses, up to a maximum annual savings of $400. This Savings Card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy.
• The PAF Co-Pay Relief Program, one of the self-contained divisions of PAF, provides direct financial assistance to insured patients who meet certain qualifications to help them pay for the prescriptions and/or treatments they need.
• Co-Pay Assistance and Emergency Relief Program Contact: 203-635-2644 Email: email protected Fax: 203-405-8178. Travel & Lodging Assistance Program Contact: 203-616-4329 Email: email protected Fax: 203-267-9529.learn more about this program.

The PAN Foundation is dedicated to helping patients reach their best health. If we are unable to assist you with your out-of-pocket medical expenses, one of the following organizations. may be able to help.

$0 co-pay for most patients!*

Copay Relief Funds

The Hizentra Co‑Pay Relief program helps eligible people with commercial insurance afford their therapy. The program helps most people with monthly out‑of‑pocket expenses for Hizentra—up to $5,000 for each year, with no monthly cap.*^†

Plus, it's easy to enroll—just call IgIQ at 1-877-355-IGIQ (4447) and ask for co-pay assistance today!

See how Co-Pay Relief can help you and your family

Co Pay Relief Assistance Program

*Other terms and conditions may apply.^†This program applies to product costs only. Contact IgIQ to learn more.

Terms and Conditions

• Prescription must be for primary immunodeficiency or chronic inflammatory demyelinating polyneuropathy diagnosis
• Patients with PI must be at least 2 years of age and CIDP patients must be 18 or older
• Patient must be receiving Hizentra through a Specialty Pharmacy or physician office
• It is recommended that the patient use a Specialty Pharmacy provider that is in-network with the patient's current plan
• Patient must express financial need
• Patient must have coverage for the product under a private US insurance plan. Not valid for prescriptions eligible for reimbursement by any federal or state healthcare program, such as Medicare, Medicare advantage plans, Medicaid, PCIP, Champus, TriCare, Veterans Administration (VA), or any other state or federal program
• Patients whose insurance policy prohibits co-pay assistance are not eligible. Prior to enrolling in this CSL Behring program. participants are responsible for checking with their insurance carrier to confirm that their participation is not inconsistent with their insurance carrier's requirements
• This program is subject to change or discontinuation by CSL Behring at any time, for any reason, and with or without prior notice

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Co-pay Relief Patient Advocate Foundation