Sumitomo Pharma America IS COMMITTED TO IMPROVING ACCESS TO GEMTESA

GEMTESA is covered for 69% of national commercial plans and covered for 85% of Medicare Part D Lives*†

For more information, please contact your GEMTESA Sales Representative.

REQUEST A REP

All formulary data and access criteria are provided by Managed Markets Insights & Technology, LLC database as of October 2023. Nothing on this website is intended to serve as a guarantee of coverage or a guarantee of payment. For verification of coverage, please contact insurance plan.

*National commercial health plan formulary status under the pharmacy benefit updated as of October 2023.

†Data on file. Sumitomo Pharma America, Inc.

Patient Connect Support logo.

Personalized support for the GEMTESA treatment journey through:

  • Tools that improve access to GEMTESA
  • Resources that identify payor coverage among patients with OAB in the practice
  • Insights for the office to help those who have a more challenging pathway to coverage
  • Identification and addressing of barriers patients experience with regard to obtaining their prescribed medication, overcoming financial challenges, and getting started — and staying — on therapy
 

PRESCRIPTION SAVINGS

Simple Savings Program card.

Eligible patients may pay as little as $0 for each 90-day supply of GEMTESA

  • For a limited time January 1, 2024-December 31, 2024, commercially insured patients could pay as little as $0 for each 90-day supply of GEMTESA with the Simple Savings Program*
  • Patients can apply for savings online or via text
2 ways eligible patients can apply for the Simple Savings Program
Visit GEMTESA.com/savings-apply
Patients can select “I need a card,” complete an enrollment form, and, if eligible, bring their printed savings card to the pharmacy for their GEMTESA prescription. Visit the patient website for program details.
Text† “GEMTESA” to 436872
If eligible, your patient's savings card information will be texted to their phone.

VIEW PROGRAM

Mail-in rebate option

  • If a patient fills their prescription through a mail order pharmacy, or is unable to process their savings card at their local pharmacy, they will need the following items to request reimbursement:
    • Photocopy of the front and back of their GEMTESA Simple Savings Card
    • Original proof of purchase (original pharmacy receipt with their name, address, pharmacy name, product name, prescription numbers, NDC number, date filled, quantity, and price)
    • Photocopy of the front and back of their insurance card
    • Their date of birth
    • Their mailing address
  • The items listed above should be submitted via email to: gemtesa@ApolloCare.com
  • Patients should allow 6-8 weeks to receive reimbursement. Reimbursement requests must be postmarked within 3 months of the fill date. Reimbursements are subject to Program Terms, Conditions, and Eligibility Criteria

*Restrictions and maximum savings limits apply. Coverage and out-of-pocket costs may vary. Offer not valid for patients participating in Medicare, Medicaid, or other government healthcare programs. See full Program Terms, Conditions, and Eligibility Criteria.

†Message and data rates may apply. Up to 15 messages per month after initial sign-up communications. Text STOP to unsubscribe at any time.

Visit our library of resources available to support providers and staff as they navigate treatment with GEMTESA

See available resources
 

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