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This information is intended for healthcare professionals in the United States.

Are you a healthcare professional?

Yes

Discover the Copay Assistance Program

Eligible commercially insured patients may qualify for the Doptelet Copay Assistance Program

What's the program?

• Eligible patients may pay as little as $0 for each Doptelet prescription
• Annual maximum benefit up to $15,000

Eligible patients must:

• Have commercial insurance that covers Doptelet
• Not be enrolled in any state or covered by a state or federal healthcare program such as Medicare, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD), or TRICARE
• Be 18 years of age or older
• Be a resident in the United States or a US Territory
• Be prescribed Doptelet for an FDA-approved use

How to enroll:

• Approved pharmacies, healthcare professionals, and Doptelet Connect can enroll patients
• Patients can enroll themselves as well as their caregivers
• Please call 1-833-368-2663 Monday–Friday 8 am–8 pm ET for more information

Terms and Conditions

• Patients pay as little as $0 per prescription. Copay Assistance Program has an annual calendar cap of $15,000
• Patient has an on-label prescription
• The Copay Assistance Program is void where prohibited by law, taxes, or restricted
• This offer is non-transferable, no substitutions are permissible, and this offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription
• Sobi, Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice
• The Copay Assistance Program for Doptelet is not insurance and is not intended to substitute for insurance
• Patients, pharmacists, and healthcare providers must not seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this Copay Assistance Program. Patients must not seek reimbursement from any health savings, flexible spending, or other healthcare reimbursement accounts for the amount of assistance received from the Copay Assistance Program
• Certain information pertaining to your use of the Copay Assistance Program will be shared with Sobi, Inc., the sponsor of the Copay Assistance Program. The information disclosed will include the date the prescription is filled, the number of pills or product dispensed by the pharmacists, and the amount of your copay that will be paid for by using this Copay Assistance Program. For more information, please see the Sobi Privacy Policy at https://sobi-northamerica.com/privacy-policy
• Acceptance in this Copay Assistance Program is not conditioned on any past, present, or future purchase, including additional doses
• Enrollment for the Copay Assistance Program is valid through the calendar year
• Sobi reserves the right to change Copay Assistance Program terms at any time