How to Use the Card

The card may be used only for co-pays for OCREVUS. We need to make sure you received your treatment before you can use the card.

Tell your doctor's office, the infusion center, the hospital or the specialty pharmacy* that you are using the OCREVUS Co-pay Program.
Get your OCREVUS treatment.
After your treatment, your health insurance plan will send an Explanation of Benefits (EOB) statement, also called an "EOB".
The OCREVUS Co-pay Program needs to see your EOB to check your information. Your doctor's office can send it to us, or you can send it yourself.
  • Fax (855) MS-COPAY (855-672-6729)
  • Upload at OCREVUS.com/Copay
  • Mail to The OCREVUS Co-pay Program
100 Passaic Ave
Suite 245
Fairfield, NJ 07004
Your doctor's office, infusion center, hospital or specialty pharmacy* will use your card to pay part of your co-pay. You will usually pay $5 for your drug costs and/or $5 for your infusion costs. However, you may owe more, depending on your health insurance plan.

*You can use your card with a specialty pharmacy for drug assistance only.

Indication and Important Safety Information

What is OCREVUS?

OCREVUS is a prescription medicine used to treat adults with relapsing or primary progressive forms of multiple sclerosis. It is not known if OCREVUS is safe or effective in children.

Who should not receive OCREVUS?

Do not receive OCREVUS if you have an active hepatitis B virus (HBV) infection.
Do not receive OCREVUS if you have had a life threatening allergic reaction to OCREVUS. Tell your healthcare provider if you have had an allergic reaction to OCREVUS or any of its ingredients in the past.

What is the most important information I should know about OCREVUS?

OCREVUS can cause serious side effects, including:

  • Infusion reactions: OCREVUS can cause infusion reactions that can be serious and require you to be hospitalized. You will be monitored during your infusion and for at least 1 hour after each infusion of OCREVUS for signs and symptoms of an infusion reaction.
  • Infection:
    • OCREVUS increases your risk of getting upper respiratory tract infections, lower respiratory tract infections, skin infections, and herpes infections. If you have an active infection, your healthcare provider should delay your treatment with OCREVUS until your infection is gone.

What are the possible side effects of OCREVUS?

OCREVUS may cause serious side effects, including:

  • Risk of cancers (malignancies) including breast cancer. Follow your healthcare provider’s instructions about standard screening guidelines for breast cancer.

Most common side effects include infusion reactions and infections.

These are not all the possible side effects of OCREVUS.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

For more information, go to www.OCREVUS.com or call 1-844-627-3887

For additional safety information, please see the full Prescribing Information and Medication Guide.

The OCREVUS Prepaid MasterCard® is issued by Comerica Bank pursuant to license by MasterCard International. No cash or ATM access. The card can be used only to purchase prescriptions at participating merchant locations where Debit MasterCard is accepted.