Apellis Patient Assistance Program: Empaveli

Funded

About

The Apellis Patient Assistance Program: Empaveli offers significant support to patients in need, providing access to the drug Empaveli at no cost for eligible individuals. This program is invaluable for uninsured or underinsured patients diagnosed with paroxysmal nocturnal hemoglobinuria (PNH) who are enrolled in the ApellisAssist program. By emphasizing accessibility and affordability, the Apellis Patient Assistance Program: Empaveli ensures that financial challenges do not hinder necessary treatment.

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

•The Apellis Patient Assistance Program may be able to help uninsured or underinsured patients obtain EMPAVELI at no cost

•Patient must be enrolled in the ApellisAssist Pogram

•Must have a valid prescription

•Patients can enroll by phone (18666927527) or fax form to (18887541285)

•For more information patients must call 18666927527 from 8 am 8 pm ET, MondayFriday or visit EMPAVELI.com

Enrollment Forms

Enrollment Form