Skip to main content

Jivi Prices, Coupons and Patient Assistance Programs

Jivi (antihemophilic factor) is a member of the miscellaneous coagulation modifiers drug class and is commonly used for Hemophilia A.

The cost for Jivi intravenous powder for injection (aucl recombinant PEGylated) is around $12 for a supply of 1 powder for injection, 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 Drugs.com discount card which is accepted at most U.S. pharmacies.

Jivi prices

Intravenous Powder For Injection

Drugs.com Printable Discount Card

The free Drugs.com 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.

Jivi Coupons, Copay Cards and Rebates

Jivi offers may be in the form of a printable coupon, rebate, savings or copay 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.

Jivi Reimbursement for Lab Testing: Eligible commercially insured patients may qualify to receive up to $250 per year towards lab monitoring out-of-pocket costs; for additional information contact the program at 833-270-4331.

Applies to:
Jivi
Number of uses:
one offer per patient per year

Form more information phone: 833-270-4331 or Visit website

Jivi Free Trial Program: Eligible patients may receive up a one-month supply (maximum of 40,000 IU); available to new patients 12 and up; form to be filled out by both patient & doctor; for additional information contact the program at 800-288-8374.

Applies to:
Jivi
Number of uses:
One-time offer

Form more information phone: 800-288-8374 or Visit website

Jivi Loyalty Program: Eligible commercially insured patients may receive medication at no cost if they are experiencing gaps or changes in their insurance coverage; the patients physician must fill out a form for enrollment; for additional information contact the program at 800-288-8374.

Applies to:
Jivi
Number of uses:
Temporary Assistance

Form more information phone: 800-288-8374 or Visit website

Jivi $0 Co-Pay Program: Eligible commercially insured patients pay as little as $0 per prescription with a maximum savings of $20,000 per year; for more information contact the program at 647-245-5619.

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

Form more information phone: 647-245-5619 or Visit website

Jivi $0 Co-Pay Program Rebate: Eligible commercially insured patients may receive a rebate if the pharmacy did not accept the offer; the patient must pay in full for their prescription in order to submit the rebate; for additional information contact the program at 647-245-5619.

Applies to:
Jivi
Number of uses:
One rebate per prescription fill
Expires
December 31, 2023

Form more information phone: 647-245-5619 or Visit website

Patient Assistance & Copay Programs for Jivi

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs 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:
  • Jivi (antihemophilic factor recombinant PEGylated) Injection; IV Lyophilized powder

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

Provider: Bayer US Patient Assistance Foundation Free Drug Program

Elligibility requirements:
  1. Must have no prescription coverage for needed medication
  2. Not disclosed
  3. Medically appropriate condition/diagnosis
  4. Must be residing in the US or Puerto Rico
  5. Eligibility determined on a case-by-case basis.
Applicable drugs:
  • Jivi (antihemophilic factor recombinant PEGylated) Injection; IV Lyophilized powder

More information please phone: 866-228-7723 Visit Website