EVENITY

Indicated For

osteoporosis

About This Medication

# Getting Help Paying for EVENITY (romosozumab-aqqg): Your Guide to Affordability Options ## Important Information About EVENITY Assistance If you've been prescribed EVENITY (romosozumab-aqqg) for osteoporosis treatment, you may be concerned about the cost. While Amgen, the manufacturer, does not currently have an active patient assistance program (PAP) specifically for EVENITY, there are several other resources and options available to help you afford this important medication. ## Understanding EVENITY EVENITY is a prescription injection medication used to treat osteoporosis in postmenopausal women and men at high risk of fractures. It works by blocking a protein called sclerostin, which helps strengthen bones and reduce fracture risk. EVENITY is typically administered as monthly injections for 12 months, followed by ongoing treatment with other osteoporosis medications. ## Your Affordable Options ### Option 1: Amgen Support Plus Copay Savings Card Amgen offers a copay savings card through their Amgen Support Plus program. This is your most direct resource from the manufacturer. **How It Works:** - Eligible patients may pay as little as $0-$50 per month for EVENITY - The card covers up to $6,000 per year in out-of-pocket costs - Available for patients with commercial insurance **To Apply:** - Visit https://amgensupportplus.com/copay - Enroll online or call the support team - Present the card at your pharmacy when filling your prescription - Processing typically takes less than 2 weeks ### Option 2: Insurance Coverage and Negotiation Many insurance plans cover EVENITY, though they may require prior authorization or have specific requirements: - **Commercial Insurance:** Most plans cover EVENITY with a copay. Ask your doctor's office to submit a prior authorization request. - **Medicare Part D:** EVENITY is covered under most Part D plans. You'll pay the applicable copay or coinsurance based on your plan. - **Medicaid:** Coverage varies by state. Contact your state's Medicaid office for eligibility. **If Your Insurance Denies Coverage:** Ask your healthcare provider to appeal the denial or request a medical exception. Insurance companies often reconsider denials with proper documentation of medical necessity. ### Option 3: State Pharmaceutical Assistance Programs Your state may offer a pharmaceutical assistance program that helps residents afford expensive medications: - Visit **NeedyMeds.org** for a comprehensive directory of state programs - Search your state name plus "pharmaceutical assistance program" - Income limits vary by state but many serve middle-income families - Some programs have little to no waiting period ### Option 4: Patient Advocacy Organizations Non-profit organizations may offer financial assistance: - **National Osteoporosis Foundation (NOF):** Provides resources and may connect you with assistance programs - **Patient Advocate Foundation:** Offers copay assistance for certain medications - **National Association of Patient Advocacy for Pharmaceutical Research (NAAPR):** Maintains a directory of manufacturer and non-profit assistance programs ### Option 5: Pharmaceutical Manufacturer Programs While Amgen doesn't have a traditional PAP, check NeedyMeds.org for any emerging assistance initiatives or contact Amgen directly at 1-800-77-AMGEN to ask about new programs. ## Income Eligibility Guidelines While no specific Amgen PAP exists for EVENITY, most state and non-profit assistance programs use federal poverty guidelines as a baseline. Here are approximate income thresholds (2024): | Household Size | Lower Income Threshold | Upper Income Threshold | |---|---|---| | 1 person | $14,580 | $43,740 | | 2 people | $19,720 | $59,280 | | 3 people | $24,860 | $74,820 | | 4 people | $30,000 | $90,360 | | 5 people | $35,140 | $105,420 | | 6 people | $40,280 | $120,960 | *Note: Different programs have different thresholds. Some serve those up to 400% of federal poverty level. Always check specific program requirements.* ## Documents You'll Need When applying for any assistance program, gather: 1. **Valid Prescription:** An active prescription from your doctor 2. **Income Verification:** Recent tax return (1040), pay stubs, or proof of benefits 3. **Proof of Residency:** Utility bill, lease, or government ID 4. **Insurance Information:** Insurance card or documentation of lack of insurance 5. **Identification:** Driver's license or state ID 6. **Contact Information:** Phone number and email for the program to reach you ## Step-by-Step Application Process ### Step 1: Start with the Copay Card (Fastest Option) Visit amgensupportplus.com/copay and enroll online. This typically takes 10-15 minutes and you may be approved immediately or within 1-2 weeks. ### Step 2: If You Need Additional Assistance Contact your state's pharmaceutical assistance program or check NeedyMeds.org for options. ### Step 3: Gather Required Documents Collect income verification, insurance information, and your prescription before applying. ### Step 4: Submit Your Application Apply online if available, or by mail/fax according to program instructions. ### Step 5: Wait for Approval Most programs process applications within 4-8 weeks, though some are faster. ### Step 6: Receive Your Card or Authorization Once approved, you'll receive instructions on how to access your benefits. ## Timeline and Delivery - **Copay Savings Card:** 1-2 weeks to approval; benefits begin immediately - **State Assistance Programs:** 4-8 weeks typical; may vary by state - **Insurance Appeal:** 2-4 weeks for reconsideration ## What If Your Application Is Denied? 1. **Ask Why:** Request a detailed explanation of the denial 2. **Appeal:** Most programs allow appeals with additional documentation 3. **Try Alternative Programs:** You may qualify for a different state or non-profit program 4. **Talk to Your Doctor:** Your healthcare provider may know of additional resources or lower-cost alternatives 5. **Contact Patient Advocates:** Organizations like the Patient Advocate Foundation can help navigate appeals ## Insurance Requirements - **Commercial Insurance:** Required for Amgen's copay card; most plans cover EVENITY - **Medicare:** EVENITY is covered; you may qualify for Extra Help or LIS programs - **Medicaid:** Varies by state; always contact your state Medicaid office - **Uninsured:** Focus on state programs and non-profit assistance first ## Reauthorization and Refills Most assistance programs require annual reauthorization. When your assistance is about to expire: 1. Watch for renewal notices from the program 2. Update any income or insurance changes 3. Resubmit required documentation 4. Process typically takes 2-4 weeks Work with your pharmacy to ensure there are no gaps in coverage. ## Important Reminders - **Never Skip Your Medication:** If you have trouble affording EVENITY, talk to your doctor before stopping treatment. Alternatives may be available. - **Be Honest on Applications:** Providing false income information is fraud and can result in legal consequences. - **Keep Your Information Current:** Update programs if your income, insurance, or contact information changes. - **Follow Deadlines:** Mark your calendar for reauthorization deadlines to avoid lapses in assistance. ## Legal Disclaimer This guide provides general information about EVENITY and assistance resources. It is not medical advice, legal advice, or a guarantee of coverage or assistance. Eligibility requirements, income limits, and benefits vary by program and change over time. Always verify current requirements directly with assistance programs before applying. Individual circumstances vary, and you should consult with your healthcare provider and pharmacist about your specific situation. Neither this guide nor its creators are affiliated with Amgen, the FDA, or any insurance company or assistance program mentioned herein.

Program information last verified: March 25, 2026