Having great support throughout treatment is important

Savings and Financial Assistance

For people with commercial or private insurance

You may be eligible for financial assistance*^†

Your inLighten Coordinator and specialty pharmacy can provide you with financial assistance information, including programs that can help you save on out-of-pocket costs.

• If you have commercial or private insurance, you may be able to save on out-of-pocket costs with the inLighten Co-pay Savings Program
• Eligibility can be determined by calling inLighten at 833-LIGHT-00 (833-544-4800) Monday through Friday from 8 AM to 8 PM Eastern Time

Not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, Veterans Affairs (VA), Department of Defense (DoD), TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.

See full terms and conditions.

For people with government insurance^‡

Medicare Part D financial assistance programs
If you have Medicare Part D, you may have the ability to:

• Enroll in the Medicare Prescription Payment Plan (MPPP). Also known as “smoothing,” this program is intended to smooth your out-of-pocket prescription drug costs by breaking them into monthly installments
  • Spread your out-of-pocket costs across the year
  • Pay $0 at point of service
  • Amount for each month cannot exceed your maximum monthly cap

Enroll before the plan year or at any month during the year by contacting your Medicare Part D plan.

• Get “Extra Help” with prescription medicine costs through the Extra Help program. Also called the Part D Low-Income Subsidy (LIS), this federal program provides financial assistance to help you pay for your prescription drug premiums, deductibles, and co-payments if you have limited income and resources

  If you qualify, you may pay:

  • $0 for Medicare drug premiums
  • $0 for plan deductibles
  • Up to $11.20 for each brand-name drug

To apply for the Extra Help program, call 1-800-772-1213 or visit ssa.gov/medicare/part-d-extra-help.

State-sponsored programs^‡

• Some states sponsor prescription financial assistance programs, each with their own eligibility requirements

Independent co-pay charity foundations^‡

• Financial support for those who have government insurance and need additional assistance may be available from independent co-pay charity foundations. These foundations operate independently outside of Insmed. Speak with your Specialty Pharmacy if you have questions regarding independent charitable foundations

These services are provided by the U.S. Centers for Medicare & Medicaid Services. inLighten cannot enroll you in these services. For more information, contact your Medicare plan or visit medicare.gov.

An inLighten Coordinator is available for 1:1 support at
833-LIGHT-00 (833-544-4800) Monday through Friday from 8 AM to 8 PM Eastern Time.

Co-pay Savings Program Terms and Conditions

Patients who are eligible may pay as little as a $0 co-pay every month. Patient will be responsible for any co-pay amounts exceeding program limits. Depending on the private or commercial health insurance plan, savings may apply toward co-pay, coinsurance, or deductible. Keep in mind that co-payments, coinsurance, and deductibles are all different types of out-of-pocket costs and you may still have out-of-pocket costs even if you are eligible for this program. Refer to your insurance plan documents if you have questions related to your total out-of-pocket costs for ARIKAYCE.

Who is eligible?

Patients who have been prescribed ARIKAYCE, are at least 18 years of age, a resident of the 50 United States, the District of Columbia, or Puerto Rico, and have commercial or private health insurance may be eligible for the ARIKAYCE Co-pay Savings Program. ARIKAYCE must be covered by your commercial or private insurance. This program is not valid for cash-paying customers. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DoD, TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.

Patients who are currently ineligible for the ARIKAYCE Co-pay Savings Program may reapply if their circumstances change.

This is not an insurance benefit, and does not cover or provide support for supplies, procedures, or any physician-related services associated with ARIKAYCE. General, non-product specific insurance deductibles are also not covered by this program. Insmed reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned upon, or reward for, any past, present, or future purchase, including refills. The co-pay card is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value.

For Patients: If your prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this co-pay card. By redeeming this co-pay card, you are certifying that (1) you are not a beneficiary of any government-funded program as previously noted; (2) should you begin receiving prescription benefits from any government-funded program, you will withdraw from this program; and (3) you understand that adherence to the terms and conditions of this offer is necessary to ensure compliance with laws pertaining to any government-funded program. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, please call 833-LIGHT-00 (833-544-4800).

BY PARTICIPATING IN THE ARIKAYCE CO-PAY SAVINGS PROGRAM, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.