Elahere Support Services
Funded
About
Elahere Support Services offers comprehensive support for individuals seeking access to the drug product, Elahere. This program ensures that eligible patients who are uninsured or underinsured in the U.S. or Puerto Rico can receive Elahere at no charge. By streamlining the enrollment and verification process, Elahere Support Services aims to alleviate financial barriers, making this vital medication accessible to those in need.
Insurance requirements: Underinsured, Uninsured
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: Yes
•Activation Required: No
Program Details
•Eligible uninsured or underinsured patients may be able to receive ELAHERE at no charge
•HCP and patient should complete the enrollment form and fax to 8334646329
•Eligibility will be reverified monthly
•Call 8333524373 for more information
Enrollment Forms
Enrollment Form