SUPPORT AND
RESOURCES

There are 2 ways in which you may be eligible for financial assistance from Biogen’s Copay Program: for QALSODY itself and for some of the treatment costs to the administration of QALSODY. These are 2 different programs and if eligible, you must enroll separately. 

• Generally, all US residents who are prescribed QALSODY who have coverage through non-government insurance are eligible, regardless of income, subject to Biogen’s terms and conditions. Insurance will be billed first and must pay before copay assistance will be applicable
• Individuals receiving coverage from Medicare, Medicaid, the VA/DoD, TRICARE®,* or any other governmental or pharmaceutical assistance may not be eligible

• You’re not a resident of Massachusetts, Minnesota, or Rhode Island  
• Your healthcare provider submits a request for treatment using an approved procedure code for anesthesia, imaging procedures, and/or surgical procedure or drug administration. Only codes approved by Biogen shall be eligible under the program. There would likely be other administration costs not covered by the program

Administration Copay Program will cover only specific, approved billing codes that relate to anesthesia, imaging procedures, and/or surgical procedure or drug administration. The program does not cover lab work, observation, surgical supplies, facility/room costs, or other miscellaneous costs that may be associated with the administration of QALSODY. 

*TRICARE^® is a registered trademark of the Department of Defense; Defense Health Agency. All rights reserved.