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What’s right for me?

Our goal is to help bring you solutions, and above all, make the process of getting information easier for you. MyELOCTATE™ is about connecting you to other resources, solutions, and answers you want.

MyELOCTATE™ options:

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FREE TRIAL PLUS PROGRAM

Receive your first 30-day supply of ELOCTATE immediately with a valid prescription from your healthcare provider. You may also be able to receive free factor for up to 1 year, if needed. See more information.

How it works:

  • Download and complete the Free Trial Plus Form and bring it to your healthcare provider
  • Your healthcare provider will submit the form with a prescription for ELOCTATE
  • A MyELOCTATE™ Coordinator will contact you within 2 business days to confirm coverage and delivery details
  • Once approved, your 30-day supply ships within 24 hours

You may be eligible if you:

  • Have not tried ELOCTATE
  • Are being treated by a licensed doctor in the United States or Puerto Rico
  • Have commercial insurance
    -Those with federal and state government insurance such as Medicare, Medicaid, or Tricare® are not eligible.

Download the Free Trial Plus Form.

Click here to apply for the Free Trial Plus Program.

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COPAY PROGRAM

Offers eligible patients savings up to $12,000 per year on out-of-pocket costs associated with your prescription of ELOCTATE, whether you are new to ELOCTATE or already on therapy. There are no income requirements or caps. See more information.

How it works:

  • A MyELOCTATE Coordinator will contact you within 24 to 48 hours
    to confirm enrollment or request additional information

This Copay program does not cover costs associated with administration
of therapy, such as office visits, infusion costs, or other professional services.

You may be eligible if you:

  • Must have commercial insurance
    -Those with federal and state government insurance such as Medicare,
    Medicaid, or Tricare® are not eligible.
  • Are being treated by a licensed doctor in the United States or Puerto Rico
  • Must have a United States pharmacy

Bioverativ reserves the right to rescind, revoke or amend this offer without notice

Click here to apply for the MyELOCTATE Copay Program.

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FACTOR ACCESS PROGRAM

Helps you access ELOCTATE, even if your insurance coverage is interrupted– for example, you are between jobs or changing insurers. See more information.

There are different reasons why you may find yourself in a situation where your insurance coverage for ongoing therapy, such as ELOCTATE, may be interrupted. You may be between jobs, or changing insurers. Or, you might reach the lifetime insurance cap or your annual dollar limit.

Whatever the situation, a MyELOCTATE™ Coordinator can answer your questions to help you get continued access to ELOCTATE.

How it works:

  • A MyELOCTATE™ Coordinator will contact you within 24 to
    48 hours to confirm enrollment or request additional information

You may be eligible if you:

  • Experienced a gap in your insurance coverage
  • Reached your maximum insurance coverage limit
  • No prescription coverage

Click here to apply for the MyELOCTATE Factor Access Program.

“A MyELOCTATE™ Coordinator
helped me get on a co-pay
program. It felt like extra
weight had been lifted off
my shoulders.”
— Sara, her son, Evan, is on ELOCTATE.
Note: This is a personal account of a MyELOCTATE Peer™. Please talk to your healthcare provider about whether ELOCTATE may be right for you. Individual results may vary.
QUESTIONS? Call 1-855-693-5628
Mon – Fri, 8 AM to 8 PM ET
whats right for you

To help us determine the MyELOCTATE™ resources that are right for you, please tell us a little more about yourself. Your responses to the few simple questions below about your insurance and treatment will allow us to recommend resources for which you may be eligible.
If you need assistance, a MyELOCTATE™ Coordinator is only a phone call away.

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Indications and Important Safety Information

Indications

ELOCTATE [Antihemophilic Factor (Recombinant), Fc Fusion Protein] is a recombinant DNA derived, antihemophilic factor indicated in adults and children with Hemophilia A (congenital Factor VIII deficiency) for: on-demand treatment and control of bleeding episodes, perioperative management of bleeding, and routine prophylaxis to reduce the frequency of bleeding episodes. ELOCTATE is not indicated for the treatment of von Willebrand disease.

Important Safety Information

Do not use ELOCTATE if you have had an allergic reaction to it in the past.

Tell your healthcare provider if you have or have had any medical problems, take any medicines, including prescription and non-prescription medicines, supplements, or herbal medicines, have any allergies, are breastfeeding, are pregnant or planning to become pregnant, or have been told you have inhibitors (antibodies) to Factor VIII.

Allergic reactions may occur with ELOCTATE. Call your healthcare provider or get emergency treatment right away if you have any of the following symptoms: difficulty breathing, chest tightness, swelling of the face, rash, or hives.

Your body can also make antibodies called, "inhibitors," against ELOCTATE, which may stop ELOCTATE from working properly.

The most frequently occurring side effects of ELOCTATE are headache, rash, joint pain, muscle pain and general discomfort. These are not all the possible side effects of ELOCTATE. Talk to your healthcare provider right away about any side effect that bothers you or that does not go away, and if bleeding is not controlled after using ELOCTATE.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full Prescribing Information.

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