AadiAssist Patient Assistance Program: Fyarro

Funded

About

The AadiAssist Patient Assistance Program: Fyarro is a valuable option for patients prescribed the drug Fyarro, providing access to this essential medication at no cost to those who qualify. The program is specifically designed to help uninsured or underinsured patients, offering support through the AadiAssist PAP by requiring a low household income and an FDA-approved prescription for Fyarro.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Patients who are uninsured or underinsured may be eligible to obtain access to FYARRO at no cost through the AadiAssist PAP

•Prescriber needs to complete the entire form, sign, and fax to 1866FAXAADI (18663292234)

•Income documentation may be required to assess AadiAssist PAP eligibility for uninsured patients. Acceptable forms of documentation include the most recent copy of US federal tax return, Social Security income statements, recent pay stubs, etc.

•Contact AadiAssist (1855AADIHUB [18552234482] Monday Friday 8 AM 8 PM ET) for assistance

Enrollment Forms

Enrollment Form