Exelixis Access Services (EASE): Cometriq

Funded
About
Exelixis Access Services (EASE) offers a valuable program providing the drug Cometriq free of charge to eligible US residents diagnosed with Medullary Thyroid Cancer, who do not have insurance coverage. The EASE program features convenient direct-to-patient shipping and a compassionate approach where even those facing financial hardships might still qualify under certain conditions. Administered exclusively through Diplomat Specialty Pharmacy, EASE ensures that patients receive the necessary medication while supporting them through a straightforward application process.
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
Program provides Cometriq free of charge to people who qualify and who do not have insurance coverage
Completed and Signed Form should be faxed to: 1844901EASE (18449013273)
Program is administered through Diplomat Specialty Pharmacy, which is the only distribution source for Cometriq
Patient must have medically appropriate condition/diagnosis
If patient does not meet 500% FPL requirement, yet have had a financial hardship, they can send a letter indicating such to the program and they might still qualify
Medication is shipped directly to patient
For more information, call EASE Services at 18449003273 MondayFriday 8 AM8 PM ET