Gamifant Patient Assistance Program

Funded

About

The Gamifant Patient Assistance Program provides vital support for patients in need of the drug Gamifant. Designed to help those who are uninsured or lack coverage, the Gamifant Patient Assistance Program connects patients with dedicated Care Managers to facilitate eligibility and enrollment. By focusing on the unique needs of individuals, the Gamifant Patient Assistance Program ensures access to necessary medication through comprehensive support and guidance.

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 do not have coverage for Gamifant may qualify for the Patient Assistance Program

•HCP and patient should fill out the enrollment form and fax it to Gamifant Cares at 18668957204, or email to GamifantCares@pharmacord.com

•Upon enrollment, patient will be connected with a Care Manager who can evaluate patient eligibility for the program

•Call Gamifant Cares at 18335976530 Monday through Friday 8 am to 8 pm ET, or visit Gamifant.com

Enrollment Forms

Enrollment Form