Approved Use

Repatha® is an injectable prescription medicine used:

  • in adults with cardiovascular disease to reduce the risk of heart Read more attack, stroke, and certain types of heart surgery Read more
  • along with diet alone or together with other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia) to reduce low-density lipoprotein (LDL) or bad cholesterol

Copay Card Renewal and Replacement


The Repatha® Copay Card is available to help you save on your medication costs and can be renewed every 12 months. If you need to renew or replace your Repatha® Copay Card, please use this form or call RepathaReady® at 1-844-REPATHA (1-844-737-2842) for help.

Has your insurance changed?
RepathaReady® can help you understand if there are any changes in coverage for Repatha®, including your copay and deductible costs.

Which would you like to do?


Copay Card Renewal

Please verify your information so we can help renew your Repatha® Copay Card.


Continue

Copay Card Replacement

Please verify your information so we can help replace your Repatha® Copay Card.


Continue
Back

Copay Card Renewal

Please answer the questions below to see if you are eligible for the
Repatha Copay Card.


Are you a resident of one of the 50 United States or Puerto Rico?


Do you have commercial or private healthcare insurance?


Are you enrolled in a health plan purchased through the federal Health Insurance Marketplace at healthcare.gov, or a State Exchange such as Covered California or the NY State of Health?


Is your Repatha® prescription paid for in whole or in part by i) any federal government-funded healthcare program, such as Medicare Part B or Part D, Medicare Advantage, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DOD), or TRICARE; ii) any similar state-funded program such as a state pharmacy assistance program?


The Repatha® Copay Card is ONLY valid for patients with commercial or private insurance whose Repatha® is NOT paid for in whole or in part by any federal-, state-, or government-funded healthcare program. If at any time you begin receiving Repatha® prescription drug coverage under any such federal-, state-, or government-funded healthcare program, you will no longer be eligible to participate in the Repatha® Copay Card program and you may no longer use this card. Do you agree with this statement?


Continue

Copay Card Renewal

Your Repatha® Copay Card has been renewed and is ready to use

Here are you card details

Card Number:

Group Number:

Expiration Date:

Need a new copy of your copay card? Click here to request a replacement.

For any questions regarding your Repatha® Copay Card, please call 1-844-REPATHA (1-844-737-2842) to speak with a RepathaReady® representative.

Copay Card
Replacement

Here is your replacement Repatha® Copay Card

Your replacement Repatha® Copay Card will be mailed to the address already on file—or you can print a temporary copay card to use until your permanent card arrives.

PrintView temporary card

For any questions regarding your Repatha® Copay Card, please call 1-844-REPATHA (1-844-737-2842) to speak with a RepathaReady® representative.

We’re having a problem processing your request

We’re sorry, there was an error processing your request. Please call 1-844-REPATHA (1-844-737-2842) to complete your registration.

Return to Repatha® services

Important Safety Information

Do not use Repatha® if you are allergic to evolocumab or to any of the ingredients in Repatha®.

Before you start using Repatha®, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. The needle covers on the single-use prefilled syringes and the inside of the needle caps on the single-use prefilled SureClick® autoinjectors contain dry natural rubber. The single-use Pushtronex® system (on-body infusor with prefilled cartridge) is not made with natural rubber latex.

Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take.

What are the possible side effects of Repatha®?

Repatha® can cause serious side effects including: Repatha® may cause allergic reactions that can be serious. Call your healthcare provider or go to the nearest hospital emergency room right away if you have any symptoms of an allergic reaction including a severe rash, redness, severe itching, a swollen face, or trouble breathing.

The most common side effects of Repatha® include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Repatha®. Ask your healthcare provider or pharmacist for more information. Call your healthcare provider for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Important Safety Information

Do not use Repatha® if you are allergic to evolocumab or to any of the ingredients in Repatha®.

Before you start using Repatha®, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. The needle covers on the single-use prefilled syringes and the inside of the needle caps on the single-use prefilled SureClick® autoinjectors contain dry natural rubber. The single-use Pushtronex® system (on-body infusor with prefilled cartridge) is not made with natural rubber latex.

Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take.

What are the possible side effects of Repatha®?

Repatha® can cause serious side effects including: Repatha® may cause allergic reactions that can be serious. Call your healthcare provider or go to the nearest hospital emergency room right away if you have any symptoms of an allergic reaction including a severe rash, redness, severe itching, a swollen face, or trouble breathing.

The most common side effects of Repatha® include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Repatha®. Ask your healthcare provider or pharmacist for more information. Call your healthcare provider for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.