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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.

The cost for Bafiertam oral delayed release capsule 95 mg is around $6,668 for a supply of 120 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Bafiertam is available as a brand name drug only, a generic version is not yet available. View generic Bafiertam availability for more details.

Bafiertam prices

Oral Delayed Release Capsule

Bafiertam Coupons, Copay Cards and Rebates

Bafiertam offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional. 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

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 Savings Card

Eligible commercially insured patients may pay as little as $0 per prescription; maximum annual savings of $15,000; for additional information contact the program at 855-322-6637.

Applies to:
Number of uses:
Per prescription per year
December 31, 2023

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

Patient Assistance & Copay Programs for Bafiertam

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Patient Access Network Foundation (PAN)

Eligibility 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

Eligibility 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. Co-payment assistance, and patient assistance programs are available for eligible patients.
Applicable drugs:
  • Bafiertam (monomethyl fumarate) Capsule; Delayed Release

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