Nplate® FIRST STEP Co-Pay Coupon Card Program


Questions? Call Nplate® Navigator toll-free at 1-855-7Nplate (1-855-767-5283), Monday through Friday 9:00 am – 9:00 pm ET.

The Nplate® FIRST STEP™ program can help eligible*, commercially insured patients with deductible, co-insurance or co-pay (out-of-pocket) requirements for Nplate®.

  • No income eligibility requirement.
  • One simple phone call to enroll.
  • There’s no out-of-pocket cost for the first injection.
  • After that, the maximum out-of-pocket cost is $25 per injection, up to $10,000 per patient per calendar year. Patient is responsible for costs above this amount.
  • Program covers out-of-pocket medication costs only. Program does not cover any costs related to office visit or product administration.

*†Read eligibility criteria and limits overview

*Eligibility Criteria:

The Nplate® FIRST STEP™ Program is open to patients who meet the following criteria:

  • Patients who have been prescribed Nplate® (romiplostim) treatment.
  • Must have private health insurance that covers medication costs for Nplate® under a medical benefit plan.
  • May not be enrolled in, or have Nplate® reimbursed under, any federal, state or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE.
  • Program invalid where otherwise prohibited by law.
  • Patients may not seek reimbursement for value received from The Amgen FIRST STEP™ Program from any third-party payers, including a flexible spending account or healthcare savings account. If at any time patients begin receiving coverage under any federal, state or government-funded healthcare program, patients will no longer be eligible to participate in the Nplate® FIRST STEP™ Program and must call 1-855-7Nplate (1-855-767-5283) Monday through Friday 9:00 AM–9:00 PM Eastern Time to stop participation. Restrictions may apply. Offer subject to change or discontinuation without notice. This is not health insurance.
  • For complete list of program eligibility requirements and limitations, visit www.amgenfirststep.com or call 1-855-7Nplate (1-855-767-5283). To determine if you meet the eligibility requirements or for more information, please call 1-855-7Nplate (1-855-767-5283) or go online to www.amgenfirststep.com. Ongoing eligibility in the Nplate® FIRST STEP™ Program is contingent on submission of the required Explanation of Benefits form by your healthcare provider’s office within 45 days of use of the Nplate® FIRST STEP™ Program card. The program is not valid where prohibited by law.

Program Details:

For eligible patients, the Nplate® FIRST STEP™ Program may offer:

  • First injection: No out-of-pocket cost.
  • After first injection: Maximum out-of-pocket cost is $25 per injection, up to $5,000 per 6 months. Patient is responsible for costs above this amount.
  • Program does not cover office visit, physician, staff, or administrative charges associated with administering Nplate®.
  • Additional eligibility requirements may apply and the program is subject to certain limitations.

The Nplate FIRST STEP Prepaid MasterCard® is issued by Comerica Bank pursuant to license by MasterCard® International Incorporated. No cash or ATM access. MasterCard® is a registered trademark of MasterCard® International Incorporated. This card can be used only to cover the co-payment for eligible prescriptions covered under the program at participating merchant locations where Debit MasterCard® is accepted.

 

Nplate® FIRST STEP Co-Pay Coupon Card Program FAQs

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How long is the Nplate® FIRST STEP™ Co-Pay Coupon Card Program valid?

Once a patient is registered, the card program is valid for the enrolled patient's entire course of treatment. There is no re-enrollment necessary. For questions, call Nplate® Navigator toll-free at 1-855-7Nplate (1-855-767-5283) Monday through Friday 9:00 AM–9:00 PM ET.

Are there any eligibility requirements for the Nplate® FIRST STEP™ Co-Pay Coupon Program?

The Nplate® FIRST STEP™ Program is open to patients who have private commercial health insurance that covers Nplate® under a medical benefit plan. Patients are not eligible if participating in, or have Nplate® reimbursed under, any federal, state or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE. Log-on to www.amgenfirststep.com for full program eligibility requirements or call Nplate® Navigator toll-free at 1-855-7Nplate (1-855-767-5283), Program invalid where otherwise prohibited by law.

Why are uninsured cash-paying patients not eligible for the Nplate® FIRST STEP™ Co-Pay Coupon Card Program?

The program is intended to help commercially-insured patients cover the cost of their co-insurance or co-payment obligations for Nplate®. Uninsured patients requiring assistance may contact The Safety Net Foundation at 1-888-SN-AMGEN (1-888-762-6436) to request assistance.

Can the Nplate® FIRST STEP™ Co-Pay Coupon Card Program MasterCard® be used with mail order and specialty pharmacies?

Yes, the Nplate® FIRST STEP™ Program can be used at pharmacies. Simply provide the RXBin number and member ID that is printed on the card when filling your prescription.

For more information about the Nplate® FIRST STEP™ Co-Pay Coupon Card Program, please contact Nplate® Navigator at 1-855-7Nplate (1-855-767-5283). Or, log-on to www.amgenfirststep.com for full program eligibility requirements.