ONWARD Echocardiogram Copay Assistance Program: Fintepla

Funded

About

The ONWARD Echocardiogram Copay Assistance Program: Fintepla is designed to support patients by significantly reducing the costs associated with Fintepla prescriptions and necessary echocardiograms. This program allows eligible patients to pay as little as $0 for copays, deductibles, and coinsurance, easing the financial burden and ensuring access to essential treatment.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may as little as $0 for copays, deductibles, and/or coinsurance for Fintepla and associated echocardiograms

•Program helps with costs associated with echocardiograms, such as copayments, deductibles, and/or coinsurance

•If the patient is authorized to receive FINTEPLA, complete and submit the Patient Status Form online at FinteplaREMS.com, via fax to 18335686198 or via mail to 1710 N Shelby Oaks Dr, Ste 3, Memphis, TN 38134

Enrollment Forms

Enrollment Form