DuoConnect Patient Support Program

Funded

About

The DuoConnect Patient Support Program is designed to help patients who are prescribed Duopa, providing them with potential financial assistance and support. This program is specifically tailored for those who meet the eligibility criteria, ensuring they receive the most effective care with Duopa. With DuoConnect, participants can access necessary resources to aid their treatment journey.

Insurance requirements: Commercially insured, Medicare / Medicaid

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may be able to receive financial assistance

•HCP should fax completed DuoConnect Complete Start Form and Duopa Prescription to 8448442323

•For assistance or additional information, call 8443864968, MondayFriday, 8am8pm Eastern Time

Enrollment Forms

Enrollment Form