Feraheme Assist Patient Assistance Services
Funded
About
Feraheme Assist Patient Assistance Services provides crucial support for patients needing Feraheme who are uninsured or underinsured. This program ensures access to essential medication without the burden of cost, highlighting the dedication of Feraheme Assist Patient Assistance Services in facilitating treatment through comprehensive patient assistance.
Insurance requirements: Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Eligible uninsured and commercially underinsured patients may receive a single course of therapy at no cost
•Patient must be referred by physician to program
•Patient Application and Healthcare Provider Application forms both need to be completed and returned (HCP Application is located here: https://www.feraheme.com/wpcontent/uploads/2022/08/FerahemePatientAssistanceProgramHCP.pdf)
•Patient and physician must fill out forms and fax to program at: 18775912505 or via email: info@ferahemeassist.com
•Medication will be provided free of charge if approved, and shipped to provider or other specified address on HCP Application Form
•For any questions call 8446352624 (Monday – Friday, 8 AM – 6 PM ET)
Enrollment Forms
Enrollment Form