Ayvakit QuickStart/Coverage Interruption Program

Funded

About

The Ayvakit QuickStart/Coverage Interruption Program provides a valuable resource for patients prescribed Ayvakit who are experiencing insurance delays or temporary interruptions in coverage. This program offers a no-cost 15-day supply of Ayvakit therapy for newly prescribed patients and those already on therapy, enabling them to maintain their treatment without interruption. Enrollment in YourBlueprint is required for access to the Ayvakit QuickStart/Coverage Interruption Program.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•The QuickStart Program offers a nocost 15day supply of therapy to eligible newly prescribed patients who have an insurance delay

•The Coverage Interruption Program provides a nocost 15??day supply of treatment to eligible patients already on therapy who face a temporary interruption in insurance coverage

•Eligible patients may receive 3 refills pending insurance coverage

•HCP should complete the enrollment form and submit it via fax: 8663703082 or email: info@yourblueprint.com

•Call 8882587768, MondayFriday, 8 AM8 PM Eastern Time (ET), for assistance or additional information

Enrollment Forms

Enrollment Form