Factor Access Program: Altuviiio

Funded

About

The Factor Access Program: Altuviiio offers incredible support for patients requiring the Altuviiio drug. Perfect for individuals facing insurance challenges, this program aims to provide free access to Altuviiio, ensuring essential treatment remains uninterrupted. Key benefits include assistance for those uninsured or facing coverage lapses, with an easy enrollment process and personal guidance from a Factor Access Coordinator.

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

•Patients who are uninsured, have no insurance coverage for their prescribed product, have reached their insurance cap, or have a lapse in insurance coverage may be eligible to receive ALTUVIIIO free of charge

•Patients can enroll by calling 8557494363or by downloading the form on the site

•Completed forms should be faxed to 18553987634

•A Factor Access Coordinator will contact the patient within 2 business days to provide information about their eligibility

•Program enrollment is for 1 year; program is renewable as far as the details remain the same

Enrollment Forms

Enrollment Form