Catalyst Pathways Copay Assistance Program: Firdapse

Not Funded

About

The Catalyst Pathways Copay Assistance Program: Firdapse offers financial relief for eligible patients requiring Firdapse. Designed exclusively for commercially insured individuals, this program ensures Firdapse is more accessible by assisting with copayment costs. Patients must be residents of the US or Puerto Rico and work through their healthcare provider to access this program's benefits.

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 commercially insured patients may be able to receive financial assistance with their Firdapse prescription

•HCP should fax enrollment form to 8889819881

•If confirmed eligible for copay assistance, copay card information will be sent directly to the specialty pharmacy

•For assistance or additional information, call 8334228259 Monday to Friday, 7AM to 7PM CT

Enrollment Forms

Enrollment Form