Nplate

Indicated For

Immune thrombocytopenic purpura (ITP)

About This Medication

# Amgen SupportPlus Co-Pay Program Patient Guide: How to Get Nplate (romiplostim) at Low or No Cost Nplate (romiplostim) is a prescription medication used to treat low platelet counts in adults and children with immune thrombocytopenia (ITP), a condition where the immune system attacks platelets, leading to increased bleeding risk. The **Amgen SupportPlus Co-Pay Program** helps eligible patients with commercial insurance reduce out-of-pocket costs for Nplate, potentially paying as little as **$0** per dose.[1][2][3] ## Who Qualifies for the Program? This program is designed for patients taking Amgen medications like **Nplate** who have **commercial or private insurance**, such as employer-sponsored plans or self-purchased policies. Key eligibility points include: - **No income eligibility requirement**—unlike many assistance programs, your household income does not factor in.[1][3] - Must have private or commercial insurance; Medicare, Medicaid, or other government insurance typically do not qualify.[2][6] - Approximately **7 in 10 patients** pay $0 out-of-pocket, but eligibility criteria and program maximums apply.[1] **Uninsured patients** or those with government insurance are referred to independent nonprofit foundations for help.[6] ## About Nplate (romiplostim) **Nplate** is a man-made protein (thrombopoietin receptor agonist) given as a weekly subcutaneous injection to stimulate platelet production in the bone marrow. It's FDA-approved for: - Chronic ITP in adults who have not responded to other treatments like corticosteroids, immunoglobulins, or splenectomy. - Chronic ITP in pediatric patients 1 year and older. Common side effects include headache, joint pain, dizziness, and injection-site reactions. Serious risks involve blood clots, bone marrow changes, or progression to aplastic anemia—discuss with your doctor. Always follow your healthcare provider's instructions for dosing, usually starting at 1-10 mcg/kg weekly, adjusted based on platelet counts.[1][2] ## Income Eligibility Breakdown This program stands out because there are **no income thresholds**. Eligibility focuses on insurance type rather than finances. Here's a simple table: | Household Size | Income Limit | Notes | |---------------|--------------|-------| | Individual | None | No income requirements; based on insurance and manufacturer criteria. | | Couple | None | Approximately 7 in 10 patients pay $0 out-of-pocket. | | Family of 3 | None | Program maximums apply. | | Family of 4+ | None | Check terms at enrollment. | View full terms at AmgenSupportPlus.com/copay.[1][3] ## Insurance Requirements - **Eligible**: Commercial/private insurance (e.g., through employer or marketplace).[1][2] - **Not Eligible**: Medicare Part D, Medicaid, VA, Tricare, or other federal programs. Uninsured patients get referrals to nonprofits.[6] - The co-pay card covers **deductibles, co-insurance, and co-payments** for Nplate.[1][3] Have your insurance card ready when applying.[1] ## Step-by-Step Application Process Enrollment is quick and easy—online or by phone. Follow these **4 simple steps**:[4] 1. **Check Eligibility**: Visit AmgenSupportPlus.com/copay or call **(866) 264-2778** (Mon-Fri, 9 AM-8 PM ET). Confirm your commercial insurance covers Nplate.[1][2] 2. **Enter Personal Information**: Provide your name, contact details, date of birth, and insurance info (member ID, group number).[1] 3. **Add Doctor and Site of Care**: Include your prescribing doctor's name, contact, and where you'll receive Nplate (e.g., doctor's office, specialty pharmacy).[4] 4. **Get Your Co-Pay Card**: If eligible, create an account for virtual card details. You'll receive a welcome letter by mail. Enroll for up to 5 Amgen products at once.[3] **Phone Enrollment**: Call (866) 264-2778—staff assist Monday-Friday, 9 AM-8 PM ET.[1][2] No faxed documents or lengthy forms needed upfront; insurance info is key.[1] ## Timeline and Delivery - **Processing Time**: Immediate eligibility check; virtual card available right after enrollment. Welcome letter arrives in days. Full activation may take up to **4 weeks** in some cases.[1] - **Using the Card**: Give card details to your doctor's office or specialty pharmacy at fill time. They process it like a credit card to cover your costs.[1][3][7] - **Delivery of Nplate**: Shipped to your home, doctor's office, or pharmacy via your provider—not directly by the program. Program focuses on co-pay reduction.[1] **Refills**: Use the card each time; reminders sent for re-enrollment.[8] ## Alternatives If Denied or Ineligible - **Government Insurance/Uninsured**: Amgen SupportPlus refers you to independent foundations like Patient Access Network (PAN) Foundation or HealthWell Foundation, which may cover Nplate based on income (often up to 400-500% FPL).[6] - **Appeal Denial**: Contact (866) 264-2778 to review eligibility or explore benefits verification.[5] - **Other Options**: Ask your doctor about generic alternatives (none currently), patient assistance programs via NeedyMeds.org, or state programs. Biosimilars for Nplate are not yet available. - **Re-enroll**: Programs like this often require annual renewal—check mail reminders.[8] ## Important Disclaimer This guide is for informational purposes only and based on program details as of March 2026. **Eligibility, benefits, and terms can change**—always verify at AmgenSupportPlus.com/copay or by calling (866) 264-2778. This is not medical advice; consult your healthcare provider for treatment decisions. Program maximums apply (e.g., annual caps); see full Terms & Conditions. Amgen reserves the right to modify or end the program.[1][2][3] (Word count: 1028)

Program information last verified: March 30, 2026