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Bafiertam Prices, Coupons and Patient Assistance Programs

Bafiertam (monomethyl fumarate) is a member of the selective immunosuppressants drug class and is commonly used for Multiple Sclerosis.

Bafiertam Prices

The cost for Bafiertam oral delayed release capsule 95 mg is around $6,054 for a supply of 120 capsules, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Bafiertam is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Bafiertam availability.

This Bafiertam price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Oral Delayed Release Capsule Printable Discount Card

The free Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Bafiertam Coupons and Rebates

Bafiertam offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Bafiertam $0 Copay Program: Eligible commercially insured patients enrolled in the program may pay as little as $0 per prescription; for additional information contact the program at 855-322-6637.

Applies to:
Number of uses:
Per prescription until program expires
December 31, 2021

Form more information phone: 855-322-6637 or Visit website

Patient Assistance Programs for Bafiertam

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Bafiertam (monomethyl fumarate) Capsule; Delayed Release

More information please phone: 866-316-7263 Visit Website

Provider: Banner Patient Support

Elligibility requirements:
  1. Determined case by case
  2. Varies
  3. Medically Necessary as determined by a Doctor
  4. Must be residing in the US or a US territory, and under the care of a US physician
  5. Patient must sign the enrollment form to give the program permission to access their financial information in order to determine eligibility.
Applicable drugs:
  • Bafiertam (monomethyl fumarate) Capsule; Delayed Release

More information please phone: 855-322-6637 Visit Website