Apokyn Patient Assistance Program

Funded

About

The Apokyn Patient Assistance Program provides crucial support for patients needing Apokyn therapy. This program ensures eligible patients, who are residents of the United States without prescription insurance, can receive their necessary medication delivered directly to their homes. By alleviating financial barriers, the Apokyn Patient Assistance Program improves accessibility to Apokyn for those meeting specific criteria, encouraging better health outcomes.

Insurance requirements: 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

•HCP and patient should complete the prescription and patient authorization form

•Completed forms should be faxed to: 18885252431

•Approved patients will receive home medication delivery

•Call 8777276596, Option 3, Monday through Friday 8:00 AM to 8:00 PM ET

Enrollment Forms

Enrollment Form