Nubeqa Medicine Free Trial Medicine Information
Starting the NUBEQA ® Free Trial Program is as easy as 1-2-3!
If you have never tried NUBEQA, you may qualify for the NUBEQA Free Trial Program and can receive your first month for free.
Enroll in the NUBEQA Free Trial Program • Once you and your doctor have completed the Access Services by Bayer™ Patient Service Request Form, your doctor will fax it to Access Services by Bayer
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Schedule delivery of your 1 free month of NUBEQA • Access Services by Bayer will call you to schedule delivery of your free month of NUBEQA* • Your delivery will include a free 30-day supply of NUBEQA and will arrive on the day you requested
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Continue your treatment after completing the NUBEQA Free Trial Program
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• Before your free trial ends, you will be contacted by a specialty pharmacy or your doctor's office to plan your next delivery. The specialty pharmacy is chosen by your health insurance. PLEASE NOTE: It is important that you answer the phone when the specialty pharmacy calls to ensure you receive your next shipment of NUBEQA. It may appear as an unknown number • From this point forward, this specialty pharmacy will provide your monthly delivery of NUBEQA • Starting with your first delivery after the Free Trial Program ends, you may be responsible for out-of-pocket costs set by your health insurance
*NUBEQA is a specialty drug and cannot be obtained from a regular pharmacy.
Access Services by Bayer ™ offers resources and support for patients prescribed NUBEQA
If you need help paying for your NUBEQA treatment, Access Services by Bayer can provide you with information about assistance with your out-of-pocket costs. Access Services by Bayer can help you with financial support through: • The NUBEQA $0 Co-pay Program for eligible, commercially insured patients* • The Bayer US Patient Assistance Foundation • Charitable foundations
For more information, call Access Services by Bayer at 1-800-288-8374, Monday–Friday, 9 am –6 pm Eastern Time.
*The NUBEQA $0 Co-pay Program is for commercially insured patients using NUBEQA for an approved FDA indication.
© 2021 Bayer. BAYER, the Bayer Cross, and NUBEQA are registered trademarks of Bayer and Access Services by Bayer is a trademark of Bayer. MAC-NUB-US-0146-1 03/21
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