United Therapeutics ASSIST Patient Assistance Program: Adcirca
Funded
About
The United Therapeutics ASSIST Patient Assistance Program: Adcirca provides invaluable support by ensuring eligible patients have access to Adcirca at no cost. This program is specifically designed for individuals who are uninsured or functionally uninsured and meet specific income guidelines. By participating in the United Therapeutics ASSIST Patient Assistance Program: Adcirca, patients benefit from receiving their medication free of charge while under the care of a licensed U.S. healthcare provider. The program streamlines the process to assist patients effectively, making it an essential option for those in need of financial assistance for Adcirca, prescribed for FDA-approved indications.
Insurance requirements: Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Eligible patients may be able to receive medication free of charge
•HCP should fax completed Request for Support Form to 8003805294
•For assistance or additional information, call 8778648437, Monday Friday, 8:30am to 7:00pm ET or email: assist@unither.com
Enrollment Forms
Enrollment Form