THERA Patient Assistance Program: Egrifta SV

Funded

About

The THERA Patient Assistance Program: Egrifta SV offers significant benefits for eligible patients who require Egrifta SV. This program provides an opportunity for patients to receive their medication free of charge, enhancing accessibility for those with limited or no prescription insurance coverage. The THERA Patient Assistance Program: Egrifta SV is especially beneficial for U.S. citizens or legal residents under the care of a licensed healthcare provider. This program ensures that patients with a valid prescription can access Egrifta SV for FDA-approved indications, making it a valuable resource for those in need.

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

•Eligible patients may be able to receive medication free of charge

•HCP should fax completed application form to 8558363069

•For assistance or additional information, please call 8332384372, MonFri 8:30 a.m. 8 p.m. EST

Enrollment Forms

Enrollment Form

Other Programs

Egrifta SV Co-Pay Assistance Program

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

PAF Co-Pay Relief: HIV, AIDS and Prevention

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Max Saving: $5000/year*

Other Tools for Egrifta SV

Get prior authorization forms

Get patient education materials