PTC Cares Patient Assistance Program: Emflaza
Funded
About
The PTC Cares Patient Assistance Program: Emflaza offers significant benefits by providing the drug Emflaza at low or no cost to eligible patients. The program is designed to assist uninsured or underinsured individuals who meet specific income guidelines and have a valid prescription. With support from licensed U.S. healthcare providers, the PTC Cares Patient Assistance Program: Emflaza ensures that those in need can access their medication effectively.
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 uninsured or underinsured patients may be able to receive their medication at low or no cost
•HCPs should fax a completed Prescription Start Form to: 8443229980
•Call 8444782227 for assistance or additional information
Enrollment Forms
Enrollment Form