Full Prescribing Information Contact Us Billing Information

ALYGLO SUPPORT FOR PATIENTS


Co-Pay Assistance

Eligible patients can receive up to $15,000 to cover the deductible, co-pay, and/or coinsurance for ALYGLO.

  • Please ask your provider to bill Medmonk for your co-pay assistance at the time of dispensing. This streamlined approach facilitates the process, ensuring prompt access to the copay assistance you need.
  • ALYGLO copay assistance can typically be used regardless of whether your healthcare provider is billing through your major medical plan or your pharmacy benefits.

ELIGIBILITY CRITERIA FOR CO-PAY ASSISTANCE

  • Patient must be a US resident
  • Patient must express financial need
  • Assistance is available to commercially insured patients only

RESTRICTIONS

  • Assistance covers only out-of-pocket expenses for the drug portion; administration supplies and nursing copay costs are not covered through the program
  • Patients are ineligible for copay assistance if they participate in Medicare, Medicaid, Medigap, Veterans Affairs, Department of Defense, Tricare, or any other federal or state-funded programs.

Reimbursement Support

Feel free to contact our Support Team at (888) 501-8040 and inquire about your insurance coverage. We're here to help you navigate your coverage and provide support where needed.



This program is subject to change or discontinuation by GC Biopharma at any time, for any reason, and with or without prior notice.


INDICATION

ALYGLO™ is indicated for the treatment of primary humoral immunodeficiency (PI) in adults aged 17 years and older. This includes, but is not limited to, congenital agammaglobulinemia, common variable immunodeficiency (CVID), Wiskott-Aldrich syndrome, and severe combined immunodeficiencies.

Important Safety Information

For more information about ALYGLO, talk to your doctor and see the Product Information.

You are encouraged to report negative side effects of prescription drugs to GC BioPharma USA. Email medicalinfo@gcbiopharmausa.com or call 1-833-426-6426