If eligible for the CINQAIR® Cost Support Program, you can use your Program Card with your treatment provider to help pay your out-of-pocket costs for treatment with CINQAIR® (reslizumab) Injection.
REMEMBER! Keep your Program Card in a safe place and bring it to your treatment appointments.
After you receive your treatment, your treatment provider will submit a claim to your insurance plan. Your treatment provider may or may not collect your co-pay, based on your insurance coverage.
You will receive an Explanation of Benefits (EOB) statement from your insurance plan. It will show your out-of-pocket costs for CINQAIR® and its administration. This will determine the amount the Cost Support Program will issue to your card.
You or your treatment provider can fax or mail your EOB to the CINQAIR® Cost Support Program. No other forms are needed.
By Mail:
CINQAIR® Cost Support Program PO Box 7017 Bedminster, NJ 07921
Coordinate with your treatment provider to send one EOB after each infusion with CINQAIR®.
Once funds have been issued to your Program Card, you can use it with your treatment provider to pay your out-of-pocket costs for treatment with CINQAIR®.
Download Cost Support Program Brochure
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The information on this site is intended for healthcare professionals in the United States.
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