Glatopa

Indicated For

relapsing forms of multiple sclerosis (MS)

About This Medication

# GlatopaCare Co-Pay Program Patient Guide: How to Get Glatopa (glatiramer acetate) at Low or No Cost Glatopa (glatiramer acetate) is a prescription medication used to treat relapsing forms of **multiple sclerosis (MS)**, helping to reduce the frequency of relapses.[1][7] The **GlatopaCare Co-Pay Program** from Sandoz offers eligible commercially insured patients up to **$0 co-pay per month** for Glatopa 20 mg/mL or 40 mg/mL doses, making this important therapy more affordable.[1][4] ## About Glatopa and Multiple Sclerosis **Glatopa** is a biosimilar to Copaxone, containing **glatiramer acetate**, which works by modulating the immune system to lessen MS flare-ups.[7] It's given as a subcutaneous injection, typically daily (20 mg/mL) or three times weekly (40 mg/mL). Patients often use tools like the GlatopaJect® device for easier self-administration.[3] Multiple sclerosis is a chronic condition affecting the central nervous system, causing symptoms like fatigue, numbness, and mobility issues. Glatopa helps manage relapsing-remitting MS, a common form where symptoms flare and then improve.[7] Always consult your doctor to see if Glatopa is right for you. ## Who Qualifies for the GlatopaCare Co-Pay Program? This program is designed for **commercially insured patients** (private insurance, not government programs).[1][4][7] Key eligibility includes: - A valid prescription for Glatopa. - Commercial health insurance covering Glatopa or glatiramer acetate. - Age 18+ and U.S. resident (including Puerto Rico).[7] - Not enrolled in Medicare, Medicaid, VA, TRICARE, or other government insurance.[7] **Income Eligibility**: No specific income thresholds like Federal Poverty Level (FPL) limits are listed; eligibility is determined upon application.[7] The program focuses on insurance type rather than income, but Sandoz reviews applications case-by-case.[2] ### Income Eligibility Breakdown | Household Size | Income Threshold | FPL % | Notes | |---------------|------------------|-------|-------| | Individual | Not specified | N/A | Determined upon application[7] | | Couple | Not specified | N/A | For commercially insured only[1] | | Family of 3 | Not specified | N/A | Case-by-case review[2] | | Family of 4 | Not specified | N/A | No strict limits; insurance primary[4] | This table reflects the lack of fixed income caps, prioritizing commercial coverage.[1][7] ## Insurance Requirements You must have **commercial (private) insurance** that covers Glatopa. Government insurance like **Medicare Part D** or Medicaid typically does **not qualify** for this co-pay program.[7] Provide proof of insurance, including pharmacy benefit card details if applicable.[5] The program helps cover co-pays, deductibles, or co-insurance, potentially reducing costs to $0.[1] Proof of purchase may be required for claims.[2] ## Step-by-Step Application Process Applying is straightforward with **multiple methods**.[3][4][6] 1. **Check Eligibility**: Call **1-855-GLATOPA (1-855-452-8672)** or visit the enrollment site to confirm.[1][4][5] 2. **Gather Documents**: Have your prescription, insurance card (front/back), Medicare card if applicable (though not eligible), and personal info ready. No extensive docs listed, but proof of purchase may be needed later.[2][5] 3. **Enroll**: - **Online**: Go to qv.trialcard.com/glatopa or sandoz-onesource.com/glatopa to enroll in Co-Pay Assistance and upload docs.[3][6] - **Phone**: Call 1-855-452-8672 for help.[4] - **Fax Prescription Form**: Download the Prescription and Service Request Form, complete with prescriber signature, and fax to 1-866-867-4962.[5] 4. **Sign Authorization**: Agree to share info for benefits verification and program management. This lasts until the program ends but can be revoked by phone.[5] 5. **Submit Claims**: After approval, pharmacies or you submit co-pay claims (e.g., CMS-1500 form).[2][8] Your doctor or pharmacy can assist with paperwork.[3] ## Timeline and Delivery Most commercially insured patients get **approval within 24-48 hours**.[7] Claims process quickly once enrolled. **Delivery** occurs via your chosen pharmacy; the program covers co-pays at participating locations. Request the GlatopaJect® device through the portal if needed.[3] Refills follow the same claim process—no specific reauthorization timeline noted.[2] ## Alternatives if Denied or Ineligible - **Biosimilar Alternative**: Copaxone (glatiramer acetate) has similar co-pay programs for eligible patients.[7] - **Other Options**: Medicare patients may qualify for separate patient assistance programs.[7] Contact Sandoz OneSource or QuickRx Specialty Pharmacy for free enrollment support in other glatiramer programs.[7] - **General MS Resources**: Explore state programs, non-profits like the National MS Society, or generic options. If denied, call 1-855-452-8672 to appeal or explore why (e.g., insurance type).[4] ## Important Disclaimer This guide is for informational purposes only and not a guarantee of eligibility or benefits. Program terms can change; Sandoz reserves the right to revoke or modify.[2] Co-pay has no cash value; max savings apply.[2] Not valid where prohibited by law. Consult your healthcare provider and review full terms. Eligibility determined by Sandoz, not pharmacies.[1][4] This is not medical advice—discuss Glatopa with your doctor.

Program information last verified: March 30, 2026