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
Enrollment Forms
Enrollment Form