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ENROLLMENT FORM Please complete the form, sign, and FAX to: 18778509901 For assistance, please call: 18774236597 (Monday Friday, 8AM to 8PM ET)Scan to save contact information for ENLIST GatewayBENLYSTA
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Benefits and copay savings refer to financial assistance programs that help patients reduce their out-of-pocket costs for medications and healthcare services.
Patients who are seeking assistance with their medication or healthcare costs may be required to file for benefits and copay savings.
To fill out benefits and copay savings, individuals should gather necessary documentation, complete the application forms accurately, and submit them according to the guidelines provided by the assistance program.
The purpose of benefits and copay savings is to alleviate the financial burden on patients, making necessary medications and treatments more affordable.
Typically, information such as personal identification details, income level, household size, and the specific medications or treatments being sought must be reported on benefits and copay savings applications.
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