Performance that
EUFLEXXA Relief Program
How to Redeem your Rebate:*
- Fill out your Patient relief form.
- Mail, fax, or electronically submit the completed Patient form, Explanation of Benefits or itemized receipt (inclusive of patient portion paid to the Health Care Provider), and Copy of the Health Insurance Card (front and back).
- Receive your Euflexxa relief in 10-14 business days.
*See eligibility criteria
Help us support healthcare workers by donating $5 to Direct Relief.
Ferring will match each donation. Learn more at euflexxa.com/relief.
Commitment
The HA that stands with you
- To qualify for the refund, you must have received all 3 EUFLEXXA
injections as indicated (ie, 1 injection a week for 3
weeks). Additional terms and conditions applySee terms
and conditions for additional eligibility criteria. - A complete refund form, Explanation of Benefits (EOB) from your
insurance company, and proof of payment must be received no
later than 14 weeks after your last injection - See additional terms and conditions
- Print, complete, and submit the refund form
- Attach Explanation of Benefits for each injection from your insurance company or payment receipt for EUFLEXXA (for cash paying patients)
- Attach receipt(s) reflecting payment towards your copay amount for EUFLEXXA
- Fax to: The EUFLEXXA Commitment at 866-383-5392
HA=hyaluronic acid; OA=osteoarthritis
Download
HA=hyaluronic acid; OA=osteoarthritis
Check your coverage
If you're ready for EUFLEXXA, you've got options!
What type of coverage do you have?
EUFLEXXA is covered on Medicare Part B*.
*Out-of-pocket cost may apply. Please check with your healthcare provider.
Good news! Most plans cover EUFLEXXA. Your healthcare provider's office will check your benefits. Some plans may require you to fulfill your prescription through a Specialty Pharmacy.
To ensure the process is completed:
- Make sure your doctor has your up-to-date contact
information - Expect a call from a Specialty Pharmacy to confirm
your order
The EUFLEXXA Patient Direct Program provides a direct purchase option to eligible patients. Payment can be made via FSA (flexible savings account), HSA (health savings account), credit card, or check.
The process is simple
- Your doctor will submit your prescription
- If approved, you will be contacted via text or email to authorize participation in the program
- CareMed Specialty Pharmacy will call to confirm your order and get your full payment
- EUFLEXXA will ship to your doctor's office*
- Your doctor will contact you to set up your appointments
If the EUFLEXXA Patient Direct Program is right for you, ask your doctor about it today.
*Your EUFLEXXA treatment will not ship to your doctor's office until CareMed Specialty Pharmacy has confirmed your order directly with you via phone and processed your payment.
1. #1 prescribed HA is based on rolling 12-month average of IQVIA claims data from unique patients (November 2021).