Copay Assistance Program Terms and Conditions

The Kiniksa Pharmaceuticals Copay Assistance Program (the “Program”) can offer eligible patients savings on their prescriptions for Kiniksa medicine.

Eligibility Requirements:

Where reimbursement covers a portion of the prescription, the Program is valid only for the amount of the actual out-of-pocket cost (up to the maximum amount offered through the Program). The Program is not health insurance and it may not be combined with any other program, rebate, coupon, or offer. No claim for reimbursement for all or any part of the benefit received by the patient through the Program may be submitted to anyone, including an insurance source.

Additional eligibility requirements and program terms and conditions apply. Kiniksa Pharmaceuticals reserves the right to rescind, revoke, or amend the Program at any time without notice.

The Kiniksa One Connect team will evaluate and determine if a patient is eligible for the Program. The Program may not apply in certain states. Contact the Kiniksa One Connect team at 1-833-KINIKSA (1-833-546-4572) for additional information.