Genzyme Co-Pay Assistance Program

The Genzyme Co-Pay Assistance Program helps eligible individuals in the United States who are prescribed treatment with Lumizyme® (alglucosidase alfa) pay for their eligible out-of-pocket drug and infusion-related (mixing and administration of the drug as well as infusion supplies such as saline, IV tubing, etc.) expenses, including co-pays, co-insurance and deductibles, regardless of financial status.

Once enrolled in Genzyme's Co-Pay Assistance Program, Genzyme will cover 100% of your eligible out-of-pocket Lumizyme drug and infusion-related costs up to the program maximum.

Once approved for assistance, your healthcare provider will be provided with information about your enrollment in this program along with directions on how to submit a claim to the Genzyme Co-Pay Assistance Program.

Who is eligible for the Genzyme Co-Pay Assistance Program?

Regardless of financial status, the program is open to individuals who:

  • Have primary commercial insurance
  • Are prescribed treatment with Lumizyme
  • Are enrolled in Genzyme's Charitable Access Program

You are NOT eligible if you:

  • Have coverage or prescriptions paid for in part or full under any state or federally funded healthcare program including:
    • Medicare
    • Medicare Advantage Plans
      (Example: FreedomBlue offered through Blue Cross Blue Shield)
    • Medicare Part D
    • Medicaid
    • Medigap
    • Veterans Affairs, Department of Defense or TRICARE
    • In accordance with State law, the Program does not reimburse infusion-related charges for patients residing in Massachusetts, Michigan, Minnesota and Rhode Island.

Genzyme reserves the right to make eligibility determinations, to set program benefit maximums, to monitor participation, and to modify or discontinue the program at any time. This program assists patients with their out-of-pocket drug and infusion-related costs of Lumizyme only, not the cost of MD office visits/evaluations, nursing services/observation periods, blood work, x-rays or other testing, pre-medications/other medications, Epi pens, transportation or other related services.

How to get started:

STEP 1
You complete the program application

Simply complete the online application available here.

Helpful information to have on hand when you apply:

  • Your treating Physician's contact information
  • Your health insurance card

You can also call your Genzyme Case Manager directly to learn more about the program and application process at 1-800-745-4447, Option 3

STEP 2
Your eligibility is verified

Your application will be reviewed for eligibility.

If you are eligible, you will be automatically enrolled in the program. Enrollment in the program is subject to confirmation of eligibility. 

STEP 3
You're enrolled!

Once approved, you will receive a confirmation letter and an enrollment card within 7-10 days. Contact your Genzyme Case Manager if you do not receive this confirmation. 

Your doctor or specialty pharmacy will receive a phone call with instructions on how to submit claims for reimbursement through the program.

Your enrollment in the program is effective from the date of approval through the end of the calendar year (calendar year is January 1 through December 31). 

If you are currently enrolled in our Co-Pay Assistance Program you will be automatically enrolled in the program for the next calendar year (January 1 through December 31) unless you decide to opt out of the program or your insurance coverage changes. 

INDICATION

LUMIZYME® (alglucosidase alfa) is an enzyme replacement therapy for patients with Pompe disease (acid α-glucosidase (GAA) deficiency).

IMPORTANT SAFETY INFORMATION

If you or your child is taking Lumizyme, you should know that severe and potentially life-threatening allergic-type reactions known as anaphylaxis or severe hypersensitivity reactions, and other severe reactions related to the immune system may occur during and after Lumizyme treatment. Reactions may include, for example, kidney dysfunction, extreme difficulty breathing, shallow breathing, abnormal heart rate, low blood pressure, or throat tightness (including face, tongue and lip swelling) and skin lesions.

If you or your child has previously experienced these severe reactions, from any cause, you may require close observation during and after Lumizyme administration. You should discuss with your physician the signs and symptoms of anaphylaxis and hypersensitivity reactions. Anaphylaxis or severe hypersensitivity reactions are potentially very dangerous. If such a reaction is severe enough, your doctor may decide to immediately discontinue the infusion and provide you with immediate medical care. Appropriate medical support measures, including those that may be used to restart the heart or breathing, may be administered when you are being infused with Lumizyme. Should treatment be discontinued, your physician may discuss restarting therapy. You may require close observation during infusions with Lumizyme administration following a severe hypersensitivity reaction.

If you or your child has an illness (i.e. a chronic breathing condition) or has compromised heart function, there may be risk of acute heart and or lung failure, and your doctor may decide that close observation during and after Lumizyme administration may be necessary.

You or your child may be monitored for the development of systemic immune-mediated reactions while receiving Lumizyme. If these reactions occur, your doctor may discontinue the infusion and initiate appropriate medical treatment.

WARNING AND PRECAUTIONS

Anaphylaxis and Hypersensitivity Reactions: Life-threatening anaphylaxis and hypersensitivity reactions have been observed in some patients during and after treatment with alglucosidase alfa. If such a reaction is severe enough, your doctor may decide to immediately discontinue the infusion and provide you with immediate medical care.

Immune-Mediated Reactions: If you or your child has an illness (i.e. a chronic breathing condition) or has compromised heart function, there may be risk of acute heart and or lung failure, and your doctor may decide that close observation during and after Lumizyme administration may be necessary.

Risk of Acute Cardiorespiratory Failure: Infant Pompe patients with heart or breathing problems may be at risk for increasing the seriousness of these problems as a result of Lumizyme administration, and your child’s doctor may require additional monitoring for these infants.

ADVERSE REACTIONS

The most frequently reported adverse reactions during Lumizyme studies in patients were allergy reactions and included: anaphylaxis, rash, fever, flushing/feeling hot, hives, headache, excessive sweating, nausea, cough, less oxygen in the blood, fast heart rate, rapid breathing, chest discomfort, dizziness, muscle twitching, agitation, bluish or purple skin, redness of skin, high blood pressure/increased blood pressure, facial paleness, chills, tremor, vomiting, fatigue, and muscle pain.

SPECIAL POPULATIONS

If you are pregnant, you should use Lumizyme only if your doctor has determined that its use outweighs any risks to your unborn child.

To report suspected adverse reactions, contact Genzyme at 1-800-745-4447 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see the full prescribing information for complete details, including boxed warning.