Cost and insurance coverage
Bayer is committed to the reproductive health of women, and we work hard to ensure every woman has access to effective contraception. Bayer may be able to help if your patients are uninsured or underinsured, or if they have high out-of-pocket costs.
The Confidence In Coverage program replaces IUDs at no cost for eligible patients who are denied coverage* by their plan after IUD insertion.
*Does not apply for patients who have co-pay, insertion and removal costs, or any other costs.
Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medicine at no cost. Please have your patient contact the program at 1-866-2BUSPAF (228-7723), Monday to Friday, 9 AM to 6 PM EST, or visit the foundation website https://www.patientassistance.bayer.us/
The Kyleena® Co-Pay Savings Program may help eligible commercially insured patients to pay as little as $20 for Kyleena.*
OF PATIENTS HAD COVERAGE FOR A BAYER IUD WITH LOW OR NO OUT-OF-POCKET COSTS BASED ON BENEFIT INVESTIGATION SUBMISSIONS TO BAYER IN 20171
Other products costs may apply; N=291,664.
*Eligible patients may pay as little as $20 and save up to $999. Patients who are enrolled in any type of government insurance or reimbursement programs are not eligible. As a condition precedent of the co-payment support provided under this program, e.g., co-pay refunds, participating patients and pharmacies are obligated to inform insurance companies and third-party payers of any benefits they receive and the value of this program, and may not participate if this program is prohibited by or conflicts with their private insurance policy, as required by contract or otherwise. Void where prohibited by law, taxed, or restricted. Patients enrolled in the Bayer US Patient Assistance Foundation are not eligible. Bayer may determine eligibility, monitor participation, equitably distribute product and modify or discontinue any aspect of the Co-pay Savings Program for Kyleena at any time, including but not limited to this commercial co-pay assistance program.
We’re for Her
- CONTRACEPTIVE ACCESS through the donation of more than 277,000 IUDs in the US for women in need since 2001
- COLLABORATION in the form of funding to Direct Relief
- EDUCATIONAL TOOLS for healthcare professionals who provide care to women in underserved communities
WE’RE FOR HER is in line with Bayer’s goal to provide 100 million women across the world with access to contraception by 2030 through 2 key programs in the US:
Bayer US Patient Assistance Foundation
A charitable organization that helps eligible patients get their Bayer prescription medicine at no cost. Please have your patient contact the program at 1-866-2BUSPAF (228-7723) Monday to Friday, 9 AM to 6 PM EST, or visit the foundation website at www.patientassistance.bayer.us to see if they might qualify for assistance.
Partnership with Direct Relief
In 2020, we committed to a partnership with the humanitarian medical organization Direct Relief to provide IUDs to health facilities caring for women in need across the country.*
*Interested health facilities can learn more by visiting www.directrelief.org or by contacting Direct Relief at 1-805-964-4767.
IUD=intrauterine device; US=United States.
There are 2 ways to order Kyleena
Bayer WHC Support Center
- Place orders online, by phone, or by fax
- Check account status and track orders
- Access 24-hour online support
Go to WHC Support Center
Bayer WHC Specialty Pharmacy Program
Depending on a patient's insurance plan, offices can order Kyleena through a Specialty Pharmacy.
Specialty Pharmacies may be able to bill the insurance company directly for Kyleena. In this case, the office bills only for the clinical services related to insertion. The remaining share of the cost is billed by the Specialty Pharmacy.
Contacting your Specialty Pharmacy
CVS Specialty (in the Continental US)
CVS Specialty (in Hawaii-Neighbor Islands)
CVS Specialty (in Hawaii-Oahu)
AllianceRx Walgreens Prime
Cigna Specialty Pharmacy Services
Humana Specialty Pharmacy
Visit the Bayer WHC Support Center for additional ordering resources and support
Coding and reimbursement
HCPCS codes (Kyleena J-code)
The alphanumeric codes are used to report drugs, supplies, and services. HCPCS codes starting with the letter “J” are used for products, supplies and services administered by the provider.
Note that some payers, including Tricare and Medicaid, require the 11-digit NDC format when billing for Kyleena. Confirm NDC billing instructions with each payer, as requirements may vary.
HCPCS=healthcare common procedure coding system; NDC=national drug codes.