Fabhalta Bridge Program

Funded

About

The Fabhalta Bridge Program offers significant benefits for patients prescribed Fabhalta, particularly those experiencing delays in insurance coverage. By providing up to 12 months of Fabhalta doses, the Fabhalta Bridge Program ensures continuous access to treatment while awaiting insurance approval. Leveraging the Fabhalta Bridge Program can greatly assist in maintaining treatment regimens without interruption.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•12 maximum fills per year

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients facing a delay in insurance coverage may be able to receive a monthly maintenance dose for up to 12 months or until insurance coverage approval, whichever occurs first

•HCP should submit completed enrollment form via fax to: 8774432242

•For assistance or additional information, call 8339932242

Enrollment Forms

Enrollment Form