BILDYOS^®

If you have been prescribed an Organon medicine, you may be eligible for the program* if all 3 of the following conditions apply:

1. You are a US resident and have a prescription for an Organon product from a health care provider licensed in the United States.^†

   AND

2. You do not have insurance or other coverage for a prescription medicine.

   AND

3. You cannot afford to pay for your medicine. You may qualify for the patient assistance program if you have a household income of $78,250 or less for individuals, $105,750 or less for couples, or $160,750 or less for a family of 4.^‡

* Offered through the Organon Patient Assistance Program Inc.

^† You do not have to be a US citizen. Legal residents of the United States, including US territories, are also eligible.

^‡ For income limits in Alaska and Hawaii, please call 888-727-0015.

To apply for the Organon Patient Assistance Program for BILDYOS, you must complete an enrollment form for The Organon Access Program. The Organon Access Program provides support to help answer questions related to insurance coverage and reimbursement.

You and your health care provider can call The Organon Access Program at 855-459-9922 to request an enrollment form. The Organon Access Program representatives are available 8 AM to 8 PM ET, Monday through Friday, to answer questions about the program.

To access the enrollment form for BILDYOS, click here.