Here For You Here With You

This site is intended only for residents of the United States and Puerto Rico.

M–F, 8am–8pm ET
Patients & Caregivers

MARKUS

Family man, entertainer, sports enthusiast, and enrolled YourSource member

stay connected yoursource Stay Connected
to YourSource
LEARN HOW
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To learn more, call (833) 428-4968
OPTION 1 TO SPEAK WITH A REPRESENTATIVE | M-F, 8am-8pm ET

ABOUT YourSource

TOGETHER THROUGH TREATMENT

We see your strength and resilience, and we know that managing your Oxbryta treatment can be a lot. That's why we'll work with you to help you understand the necessary information and steps required to receive your medication, go over financial assistance programs you may qualify for,a and access additional support resources. We’re here for you so you can continue Oxbryta as prescribed by your healthcare provider.

aSubject to eligibility and certain terms and conditions.

Portrait of Brenee, an enrolled YourSource member Portrait of Brenee, an enrolled YourSource member

Brenee

Wife, mother, nurse, and enrolled YourSource member

Your Source of
Support

Hear Brenee’s story, and learn how we can be your additional source of support throughout your Oxbryta journey.

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Your Support Circle

YOUR SUPPORT CIRCLE JUST GOT LARGER

As we work together, the YourSource Care Team will rally around you with ongoing resources and support for Oxbryta. Meet the team dedicated to helping you.

Click/tap below to select and learn more.

Care Coordinators icon
Your Care Coordinators will:
  • Help you understand your insurance benefits
  • Review and provide information on financial assistance programs based on eligibility and certain terms and conditions

Hear Markus’ story about Financial Assistance through YourSource

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Your Resource for FinaNcial
Assistance

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Your Access Navigators will:
  • Contact you to schedule an introductory session that gives information about the support provided by YourSource throughout your treatment, if you opted in on the Patient Authorization and Consent Form
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Your Nurse Support Team will:
  • Answer your general questions about Oxbryta
  • Provide education to help you start and continue treatment as prescribed by your healthcare provider
  • NOTE: Our Nurse Support Team doesn’t provide medical advice or case-management services. Always talk with your healthcare provider if you need guidance about your specific condition or overall health

Listen to Nurse Diana discuss what it means to serve as an additional resource of support

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YOUR CARE TEAM

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Your Specialty Pharmacy willb:
  • Reach out to coordinate delivery of Oxbryta
  • Follow up to make sure it’s delivered
  • Assist with getting Oxbryta refills authorized as needed
  • Answer general questions, any time (pharmacist available by phone 24/7)
b

The Specialty Pharmacy does not replace the role of your healthcare provider. Please talk to your doctor if you need guidance about your specific condition or overall health.

Save the Specialty Pharmacy numbers

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Your Care Team
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Your Care Team

Hear what it means to serve YourSource members and learn about all the ways we can be there for you directly from someone on your Care Team.

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YOUR CARE TEAM

FINANCIAL SUPPORT

INSURANCE, OXBRYTA, AND YOU

After reviewing your , YourSource will work with you to help you understand the financial assistance programs for which you may be eligible.

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If you or your loved one has commercial, private, employer, or state health insurance marketplace coverage, you could pay as little as $0 per month for Oxbryta, with a maximum benefit of $15,000 per calendar year.c

If you’re eligible, the YourSource Commercial Copay Program could provide financial assistance with out-of-pocket deductibles, copay, or coinsurance costs.c,d

c

Subject to eligibility and certain limits, terms and conditions, and annual reenrollment requirements.

d

You will receive a maximum benefit of $15,000 per calendar year. Patients are not eligible for the YourSource Commercial Copay Program if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico. For full terms and conditions, call YourSource at (833) 428-4968.

If you or your loved one does not have health insurance, YourSource may be able to help you find programs that provide assistance. We’ll check to see if you’re eligible for a government program that can help pay for prescription medicines through Medicaid. If you appear to be eligible, we’ll guide you on how to apply. We’ll see if you’re eligible to receive up to a 90-day supply of Oxbryta for free while applying for Medicaid.

If you do not qualify for Medicaid, you may be able to receive your medication for free for up to 1 year through the Pfizer Patient Assistance Program (PAP).e,f

e

Subject to eligibility and certain terms and conditions.

f

The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. Free medications from Pfizer are provided through the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions. If you have a Medicare Part D plan and are eligible for the Pfizer Patient Assistance Program, YourSource will notify your Part D plan of your enrollment in the Pfizer Patient Assistance Program.

If you or your loved one has Medicare/Medicare Part D, Medicaid, TRICARE, or another government insurance plan, YourSource may be able to help identify financial support resources. We can assist you with searching for financial support from alternate funding resources, which may include financial assistance through Extra Help, a Medicare Part D Low-Income Subsidy (LIS) program. If support from alternate funding resources or Medicare Extra Help is not available, we’ll see if you’re eligible for the Pfizer Patient Assistance Program (PAP) for Free Drug.g,h,i

g

Subject to eligibility and certain limits, terms and conditions, and annual reenrollment requirements.

h

Patients are not eligible for the YourSource Commercial Copay Program if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico.

i

The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. Free medications from Pfizer are provided through the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions. If you have a Medicare Part D plan and are eligible for the Pfizer Patient Assistance Program, YourSource will notify your Part D plan of your enrollment in the Pfizer Patient Assistance Program.

Click the following links to learn morej:

Medicaid
Medicare Part D
Limited Income and Resources

j

Patients are not eligible for the YourSource Commercial Copay Program if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico.

A YourSource Care Coordinator can help you understand your new benefits and review financial assistance options for which you may be eligible.

A YourSource Care Coordinator will contact you to review potential support programs to receive Oxbryta for which you may be eligible.

YOUR WAY TO FINANCIAL ASSISTANCE

We know at times you may worry about paying for treatment. We're here to work with you to explore possible solutions and help determine which financial assistance programs you might qualify for.

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Maya(not an actual YourSource member)

Maya is an example of an eligible YourSource member who is covered under her parents’ private insurance, with a copay of $80. Like more than 90% of commercially insured YourSource members who use the YourSource Commercial Program, her parents pay $0 for her Oxbryta treatment.k,l

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Joshua(not an actual YourSource member)

Joshua is an example of an eligible YourSource member who is uninsured. He applied to and was approved for the Pfizer Patient Assistance Program (PAP) for eligible YourSource members and receives his Oxbryta treatment for free.k,m

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Kevin(not an actual YourSource member)

Kevin is an example of an eligible YourSource member who has a government-funded insurance plan. He applied to and was approved for the Pfizer Patient Assistance Program (PAP) for eligible YourSource members and receives his Oxbryta treatment for free.k,l,m

k Subject to eligibility and certain limits, terms and conditions, and annual reenrollment requirements.
l You will receive a maximum benefit of $15,000 per calendar year. Patients are not eligible for the YourSource Commercial Copay Program if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico. For full terms and conditions, call YourSource at (833) 428-4968.
m The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. Free medications from Pfizer are provided through the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions. If you have a Medicare Part D plan and are eligible for the Pfizer Patient Assistance Program, YourSource will notify your Part D plan of your enrollment in the Pfizer Patient Assistance Program.
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Your Resource for Financial Assistance
Potrait of Markus, an enrolled YourSource member
Your Resource for Financial Assistance

Hear how the financial assistance Markus received through YourSource made a difference for him and his family.

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Your Resource for FinaNcial
Assistance

GETTING STARTED

YOUR STEP-BY-STEP LOOKn

nProcess is subject to variability per patient’s coverage type.

Click/tap on the cards below to reveal more information about each step.

STEP 1
Your healthcare provider prescribes Oxbryta
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STEP 1
First, your healthcare provider will get you started by completing the prescription portion of the Enrollment Form to prescribe Oxbryta. Find available options      See phone numbers        
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STEP 2
You sign the Patient Authorization and Consent Form to enroll
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STEP 2

Next, you’ll need to read, complete, sign, date, and submit the Patient Authorization and Consent portion of the Enrollment Form.o
o

If you decide to enroll in YourSource, completion of the Patient Authorization and Consent portion of the Enrollment Form will enable YourSource to start helping you through treatment with Oxbryta.

Find available options      See phone numbers        
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STEP 3
A Care Coordinator will call you
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STEP 3

Then, your Care Coordinator will call to welcome you to YourSource and answer your questions about the program. Expect a call from (833) 428-4968.      See phone numbers        

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STEP 4
Get help understanding your insurance benefits
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STEP 4
Your Care Coordinator will help you understand your insurance benefits. Find available options      See phone numbers        
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STEP 5
Learn what financial assistance programs may be available
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STEP 5

Your Care Coordinator will work with you to understand what financial assistance programs may be available to help you cover the cost of treatment.p

See available PROGRAMS      Blue upwards collapse icon

pFor qualifying patients.

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STEP 6
Answer the Specialty Pharmacy’s call
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STEP 6

Your Specialty Pharmacy will call you to schedule Oxbryta delivery. It’s important to answer the call.

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YOUR SPECIALTY PHARMACY CONNECTION

You have a Specialty Pharmacy on your team. They’re here to work with you, your loved ones, or your support system to schedule the delivery of your prescription. It’s important to save the number of your Specialty Pharmacy.

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Call

Use these numbers if you have questions for your Specialty Pharmacy

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Answer

Pick up the phone when you see any of these numbers on your caller ID

  • CVS Specialty
    Pharmacy


    (909) 796-7171
  • Accredo Health
    Group, Inc.


    (877) 554-3089
A woman's hands holding her cellphone with text bubble that says Your Care Coordinator will call you within 1 business day. A woman's hands holding her cellphone with text bubble that says Your Care Coordinator will call you within 1 business day.
YourSource
Digital
Assistant

See how members enrolled in the YourSource Text Support Program are able to receive updates and ongoing support from the YourSource Digital Assistant.

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YourSource DIGITAL ASSISTANT

RESOURCES

YOUR SUPPORT
YOUR WAY

There are a range of support options and resources available to you. You can decide which you use and how, so YourSource can provide assistance in a way that works for you.

YourSource Digital Wallet Card

Important YourSource and Specialty Pharmacy phone numbers to add to your contacts.

YourSource Patient Brochure

Your guide to Oxbryta patient support and how to get started with YourSource.

Hear From Our Community

Hear from enrolled YourSource members and a nurse on our Care Team about how YourSource can be there for you.

Watch now:

SELECT VIDEO

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Your Care Team

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Your Resource for FinaNcial
Assistance

Find Support Organizations

Use our Locator Tool to connect with community-based and national organizations that may offer additional support in your area.q

q

These resources are meant to be informational only and are not intended to replace medical advice.

Stay Informed

Want to receive updates from a digital assistant directly to your cellphone and helpful emails straight to your inbox? Call to learn more, or watch the video below for information about the YourSource Text Support Program.

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YourSource Digital Assistant

Find a Specialist

Need a hematologist? Locate specialists in your area who may be able to assist you.

Learn more about Oxbryta

If you have additional questions or want more information about Oxbryta, explore the website.

VISIT THE OXBRYTA WEBSITE
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MARKUS

Family man, entertainer, sports enthusiast, and enrolled YourSource member

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Have you been Prescribed oxbryta?

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Reach out to your healthcare team for more information!

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Are you enrolled in YourSource?

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Would you like information on
how to enroll in YourSourceTM?

Call us at (833) 428-4968,
Option 1, M-F, 8am-8pm ET, to speak with someone from the
Care Team.

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Let’s make sure we stay in touch!

Has your contact information, such as a phone number, email, or address,
changed recently? Will any of these be changing soon?

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Bookmark our Staying Connected Form!

If your contact information ever changes, you can always use this form to keep us updated and connected.