Catalyst Bridge Program: Firdapse

Not Funded

About

The Catalyst Bridge Program: Firdapse is designed to provide crucial support for patients prescribed Firdapse. This program ensures that eligible patients with private insurance can access their medication even if there are delays in insurance verification, offering up to 60 days of free medication. The Catalyst Bridge Program: Firdapse is a valuable option for residents of the United States, helping patients maintain consistency in their treatment with Firdapse.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured

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

•If there are delays in verifying a patient's insurance coverage, they may be eligible to receive up to 60 days of free medication under the Catalyst Bridge program

•Patient and prescriber must fill out enrollment form; include a copy of the patient's insurance card (front and back)

•Fax the signed Enrollment Form to Catalyst Pathways at 18334228260

•For questions, please call 18334CATALYST (18334228259) 7:00 AM – 7:00 PM Central Time

Enrollment Forms

Enrollment Form