Tecfidera

Indicated For

relapsing multiple sclerosis

About This Medication

# Biogen Copay Program Patient Guide: How to Get Tecfidera at Low or No Cost ## About This Program The **Biogen Copay Program** is a manufacturer-sponsored financial assistance program designed to help eligible patients afford Tecfidera (dimethyl fumarate), a medication used to treat relapsing forms of multiple sclerosis. Through this program, eligible commercially insured patients may reduce their out-of-pocket medication costs to as little as $0 per month.[1][3] ## About Tecfidera (Dimethyl Fumarate) Tecfidera is an oral medication prescribed to reduce the frequency of clinical exacerbations and delay the accumulation of physical disability in patients with relapsing forms of MS.[4] As a disease-modifying therapy, it helps manage MS symptoms and slow disease progression. Your healthcare provider will determine if Tecfidera is appropriate for your specific condition. ## Who Qualifies for the Biogen Copay Program The Biogen Copay Program is available to patients who meet specific eligibility criteria:[1][3] **Eligible patients:** - Have commercial insurance coverage - Are prescribed Tecfidera by their healthcare provider - Meet additional eligibility requirements determined during enrollment screening **Not eligible:** - Patients covered by Medicare - Patients covered by Medicaid - Patients covered by VA/DoD benefits - Patients covered by other federal insurance plans - Patients in Massachusetts or California (program no longer available for Tecfidera in these states)[3] **Important note:** If you have government insurance or are uninsured, Biogen Support Services can help you explore alternative financial assistance options, including patient assistance programs, charitable foundation grants, and state pharmaceutical assistance programs.[1][2] ## Income Eligibility The search results do not specify explicit income thresholds for the Biogen Copay Program. Income eligibility may be determined during your enrollment screening process. Contact Biogen Support Services at 1-800-456-2255 to discuss your specific financial situation and eligibility. ## Insurance Requirements To qualify for the Biogen Copay Program, you must have **active commercial insurance coverage**.[1][3] The program works alongside your existing insurance plan. Biogen Support Coordinators will review your insurance coverage, explain your benefits, and help guide you through the prior authorization process if needed.[1] ## How to Apply: Step-by-Step **Step 1: Get Your Prescription** Your healthcare provider must prescribe Tecfidera. During this conversation, ask your provider about financial assistance options.[5] **Step 2: Complete the Start Form** Your healthcare provider will give you a Start Form to complete. This form includes patient consent information and helps expedite your enrollment in Biogen Support Services, including the Copay Program.[5] You'll need to provide: - Your patient consent information (Sections A, B, and C of the Start Form) - A copy of both sides of your medical insurance card - A copy of your pharmacy benefit card (if different from your medical insurance card)[5] **Step 3: Contact Biogen Support Services** Call **1-800-456-2255** Monday through Friday, 8:30 AM to 8:00 PM ET.[4][7] You can also have your healthcare provider submit the completed Start Form on your behalf. Biogen Support Coordinators will: - Screen you for program eligibility - Explain your insurance coverage and medication costs - Guide you through the prior authorization process if needed - Answer questions about the program[1] **Step 4: Enrollment Confirmation** Once approved, you'll receive confirmation of your enrollment and instructions on how to access your copay assistance at the pharmacy. ## Processing Timeline and Delivery The search results do not specify exact processing times for the Biogen Copay Program. However, based on industry standards for similar programs, most patients receive approval within 24-48 hours of submitting a complete application.[8] Once enrolled, you can expect: - Phone calls from a Biogen Support Coordinator and a pharmacy certified to dispense Tecfidera - Caller ID may show 919-993-7000, a 1-800 number, or "unknown" - Home delivery of your medication through a certified specialty pharmacy[5] ## Important Program Details **Annual Assistance Cap:** There is an annual cap on the amount of assistance you can receive over a one-year period.[1][3] This means your copay assistance benefits reset annually. **Program Duration:** You may remain enrolled in the Biogen Copay Program for as long as it is offered and you continue to be treated with Tecfidera.[1] **Confidentiality:** All calls and services are confidential and completely free.[4] ## What If You're Denied or Ineligible If you don't qualify for the Biogen Copay Program, Biogen Support Services can help you explore alternative financial assistance options:[1][2] - **Commercially insured patients:** May qualify for other copay assistance programs or disease-specific foundation grants - **Government insured patients:** Can be checked for eligibility in alternative government insurance programs - **Uninsured or underinsured patients:** Biogen will research other possible financial assistance available to you, including charitable organizations that cover insurance premiums and copays, and free medication programs for eligible patients in need[2] ## Additional Support Available Beyond the copay program, Biogen Support Services offers comprehensive assistance:[2][9] - Benefit investigation to understand and determine the best coverage options - Insurance counseling for the uninsured and underinsured - Support navigating the Affordable Care Act - Assistance finding charitable organizations to cover insurance premiums and copays - Free medication for eligible patients in need - Treatment education from registered nurses ## How to Get Started **Call Biogen Support Services:** - **Phone:** 1-800-456-2255 - **Hours:** Monday-Friday, 8:30 AM to 8:00 PM ET - **Cost:** Completely free and confidential Biogen Support Coordinators are available to answer your questions whether you're currently on therapy or making the decision to start treatment. ## Important Disclaimer This guide provides general information about the Biogen Copay Program for Tecfidera. Program eligibility, benefits, and terms are subject to change. Federal and state laws and other factors may prevent or restrict eligibility.[1] This information is not a guarantee of enrollment or assistance. Always consult with your healthcare provider about your treatment options and financial assistance. For the most current and complete information about program eligibility and benefits, contact Biogen Support Services directly at 1-800-456-2255.

Program information last verified: March 30, 2026