Orencia

Indicated For

Rheumatoid Arthritis, Polyarticular Juvenile Idiopathic Arthritis, Psoriatic Arthritis

About This Medication

# ORENCIA On Call™ Patient Guide: How to Get ORENCIA at Low or No Cost ## About ORENCIA (abatacept) ORENCI A is a prescription medication used to treat rheumatoid arthritis and psoriatic arthritis. It works by helping prevent your immune system from attacking healthy cells. ORENCIA is administered by injection, typically once every 1-4 weeks, depending on whether you receive the subcutaneous (under-the-skin) or intravenous (IV) form. ## Who Qualifies for ORENCIA On Call™ Assistance The ORENCIA On Call™ program provides **co-pay assistance and financial support** to help make your medication more affordable. You may qualify if you: - Have **commercial insurance** that covers ORENCIA but requires you to pay a co-pay or coinsurance - Are 18 years of age or older (or have a guardian) - Are being treated with ORENCIA for an FDA-approved indication - Have out-of-pocket costs greater than $5 per month **Important:** You are **not eligible** if you have insurance through Medicare, Medicaid, Medigap, CHAMPVA, TRICARE, Veterans Affairs (VA), or the Department of Defense (DoD). Cash-paying patients without any insurance coverage are also not eligible for the co-pay assistance card program. ## Income Eligibility The search results do not specify income thresholds for the ORENCIA On Call™ co-pay assistance program. However, Bristol Myers Squibb also operates the **Bristol Myers Squibb Patient Assistance Foundation (BMSPAF)**, which is a separate program for patients who may not qualify for co-pay assistance. This foundation-based program may have income requirements, typically at or below 300% of the Federal Poverty Level, though specific thresholds were not detailed in available materials. Contact ORENCIA On Call™ directly to discuss your specific financial situation and determine which programs you may qualify for. ## Insurance Requirements To receive co-pay assistance through ORENCIA On Call™, you **must have commercial insurance** that pays for ORENCIA. The program is designed to help reduce your out-of-pocket costs when your insurance plan requires a co-pay or coinsurance. If your insurance coverage changes to a federal or state healthcare program (such as Medicare or Medicaid), you will **no longer be eligible** for the co-pay assistance card and must discontinue use immediately. ## How Much Will You Pay? If you qualify for ORENCIA On Call™ co-pay assistance: - Your out-of-pocket cost may be as **little as $5 per one-month supply** - The program covers up to a **maximum of $15,000 per calendar year** in co-pay assistance - You can use your co-pay card **up to 13 times per calendar year** - There is **no monthly benefit limit** ## Step-by-Step Application Process ### For Subcutaneous (SC) Self-Injection ORENCIA: 1. **Enroll yourself** by calling **1-800-ORENCIA (1-800-673-6242)** or visiting **ORENCIA.com** 2. Provide your insurance information and prescription details 3. Receive your co-pay assistance card by mail 4. **Activate your card** before using it at the pharmacy 5. Present your activated card and valid prescription at the pharmacy when filling your prescription ### For Intravenous (IV) Infusion ORENCIA: 1. **Your healthcare provider requests enrollment** on your behalf using the enrollment form 2. Submit the form digitally at **ORENCIAportal.com** or by faxing to **866-268-5385** 3. After your IV infusion, submit an **Explanation of Benefits (EOB)** or **Remittance Advice (RA)** form to the program 4. The submitted form must include your insurer name, plan information, confirmation that ORENCIA IV was administered, and be submitted **within 180 days** of the EOB date 5. You will receive co-pay assistance reimbursement ### For the Bridge Program (if prior authorization is delayed): If your insurance company's prior authorization is delayed more than 10 days, you may qualify for the **ORENCIA Bridge Program**, which provides free treatment while you wait for coverage approval: 1. Your healthcare provider requests Bridge Program assistance on the enrollment form 2. Submit digitally at **ORENCIAportal.com** or fax to **866-268-5385** 3. You may receive treatment at **no cost for up to 1 year** or until coverage is approved 4. Once coverage is approved, you transition to your commercial insurance **Note:** The Bridge Program is only available to commercially insured patients and is not available to those with Medicare, Medicaid, or other federal/state healthcare programs. ## Timeline and Delivery **Processing Time:** The search results do not specify exact processing times for co-pay card approval. However, ORENCIA Care Counselors are available 24/7 to answer questions about your enrollment status. **Card Delivery:** Co-pay cards are mailed to you after enrollment and activation. For IV infusion assistance, reimbursement is processed after you submit your EOB or RA form within 180 days of the service date. **Important Timeline Notes:** - Co-pay card benefits expire if not used within **180 days** of payment issuance - The enrollment period is **1 calendar year**; you may need to re-enroll annually - The program may apply to out-of-pocket expenses that occurred within **180 days prior** to your enrollment date ## What If Your Application Is Denied? If you are denied co-pay assistance, consider these alternatives: 1. **Contact ORENCIA Care Counselors** at **1-800-ORENCIA (1-800-673-6242)** to understand why you were denied and explore other options 2. **Apply for the Bristol Myers Squibb Patient Assistance Foundation (BMSPAF)**, which is a separate charitable program for patients who need temporary financial help 3. **Use a patient assistance service** like Simplefill, which can help identify and apply to multiple assistance programs on your behalf by calling **1-877-386-0206** 4. **Work with your healthcare provider** to discuss alternative treatment options or appeal your insurance company's decision ## Important Program Rules - The co-pay assistance card is **limited to 1 per patient** and cannot be sold, traded, or counterfeited - Program benefits are **nontransferable** and cannot be combined with other rebates, coupons, or free trial offers - The program covers **only the co-pay costs for ORENCIA itself**—it does not cover dosing procedures, healthcare provider services, supply charges, or other treatment costs - If you move from commercial insurance to a federal or state healthcare program, you must **immediately stop using the co-pay card** and notify the program - Some insurance plans have "co-pay maximizer" programs that may adjust your benefits over time ## Contact Information **ORENCIA On Call™ Support Program:** - **Phone:** 1-800-ORENCIA (1-800-673-6242) - **Website:** ORENCIA.com - **For IV Infusion Enrollment:** ORENCIAportal.com or fax 866-268-5385 - **For SC Self-Injection Enrollment:** Call or visit website **ORENCIA Care Counselors** are available 24/7 to help you understand your insurance coverage, out-of-pocket costs, and available resources. ## Disclaimer This guide provides general information about the ORENCIA On Call™ patient assistance program based on publicly available information as of March 2026. Program eligibility, benefits, and terms are subject to change. Always verify current program details by contacting ORENCIA On Call™ directly at 1-800-ORENCIA or visiting ORENCIA.com. This information is not a substitute for professional medical or financial advice. Consult your healthcare provider and insurance company for personalized guidance about your specific situation.

Program information last verified: March 25, 2026