Insurance-Coverage Program

If you have a lapse in coverage for XYNTHA, ReFacto, or BeneFIX, this may be the program for you. If you're eligible, the Wyeth Insurance-Coverage Program not only helps provide access to factor, but, just as importantly, provides the support of knowledgeable case management professionals who will help you navigate complicated insurance issues in ways that work for you.

Who Is Eligible?

You’re eligible to enroll in the Wyeth Insurance-Coverage Program if you meet the following requirements:

	You have hemophilia A or hemophilia B
	You have public or private insurance coverage for your hemophilia replacement factor
	You live in a state that allows the program
	You have been using XYNTHA, ReFacto, or BeneFIX for at least 3 consecutive months at the time of application

If you do not meet these requirements, learn about the Wyeth Patient Assistance Program.

How It Works

	Once you’ve enrolled, an insurance case manager will be assigned to you
	Proof of prior usage (such as a signed statement from your doctor or your insurance company) of a Wyeth hemophilia product for at least 3 consecutive months at the time of application must be provided to the program administrator
	You must be currently covered by public or private insurance for your hemophilia replacement factor
	In the event of a lapse in your insurance coverage, you will be eligible to receive a 1-month supply of factor for up to 12 months or a maximum of 200,000 IU
	Product will be delivered directly to you (no delivery to PO boxes)
	Coupons, certificates, or points do not have to be earned or redeemed to receive free factor
	You and your doctor will be notified by a program administrator when you reach 75% and 90% of your program limit
	If you reach the maximum amount of product allowed under the Wyeth Insurance-Coverage Program and have not found new insurance coverage, you may apply to the Wyeth Patient Assistance Program