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To submit a medical Copay claim you will need:

  • Explanation of Benefits (EOB) or Claims Remittance Advice (EOP)
  • Documentation provided via portal must include:
    • Patient cost share for the Biogen drug covered in the program
    • Patient cost share for the administration fee related to injection or infusion of the Biogen drug covered in the program
    • Named patient who is covered/eligible for the Biogen Copay Program
    • Biogen product name or associated J-codes

If submitting via mail or fax, HCP/Account seeking reimbursement and provider address must also be included. See the Contact Us page for details.