Alexion OneSource Co-pay Program (Ultomiris)

Manufacturer copay assistance · Ultomiris (J1303) · Alexion (AstraZeneca Rare Disease)

Eligible patients pay as… · Maximum benefit Up to $15,000/year · Covers Ultomiris drug cost only — does NOT cover infusion administration

OPEN
Status verified April 8, 2026 · Source: program site ↗

Program terms

Published terms from the manufacturer. Per-patient eligibility is confirmed at enrollment.

Assistance type
Copay Assist
Patient pays
Eligible patients pay as little as $0 per prescription
Maximum benefit
Up to $15,000/year
What it covers
Covers Ultomiris drug cost only — does NOT cover infusion administration
Insurance
commercial no medicare no medicaid no tricare no va no government
Renewal
annual
Ultomiris is one of the highest-cost drugs in the world (~$500K+/year list price). Copay program is critical for commercial patients. Excludes ALL government insurance including state prescription assistance programs.

Medicare or Medicaid patient?

This manufacturer program excludes government insurance. Foundation disease funds are the route instead — status shown as of each fund's last verification.

What will the patient owe before assistance?

Run a benefits estimate for Ultomiris — the program's cap applies against the patient share CareCost calculates.

Common questions

Does Ultomiris have a copay card?

Yes — Alexion OneSource Co-pay Program (Ultomiris) from Alexion (AstraZeneca Rare Disease). Eligible patients pay as little as $0 per prescription. Commercial insurance is required; Medicare and Medicaid patients are not eligible.

How much does Ultomiris cost with the copay card?

Eligible patients pay as little as $0 per prescription Maximum benefit: Up to $15,000/year. Covers Ultomiris drug cost only — does NOT cover infusion administration

Who is eligible for Alexion OneSource Co-pay Program (Ultomiris)?

Accepted insurance: commercial. Not eligible: medicare, medicaid, tricare, va, government.

Patient or caregiver? Your infusion center's financial counselor can enroll you — or call the program at 888-765-4747.