Kiniksa Pharmaceuticals Patient Assistance Program: Arcalyst

Funded

About

The Kiniksa Pharmaceuticals Patient Assistance Program: Arcalyst offers free access to the drug Arcalyst for eligible patients who require financial assistance. By providing this vital support, the Kiniksa Pharmaceuticals Patient Assistance Program ensures that patients in the U.S. or U.S. territories with valid prescriptions can receive their necessary medication without cost.

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

•The Kiniksa Pharmaceuticals Patient Assistance Program provides Kiniksa medicine at no cost to patients in need of financial assistance who meet the eligibility requirements

•Patient and HCP should complete enrollment form and fax it to 7816097826

•Must provide copies of patient’s medical and prescription insurance cards

•Call 8335464572 for assistance or additional information

Enrollment Forms

Enrollment Form