NORD: Short Bowel Syndrome (Premium & Copay)
Funded
About
The NORD: Short Bowel Syndrome (Premium & Copay) program provides essential support for patients diagnosed with Short Bowel Syndrome by assisting with insurance premiums and copays. It specifically caters to those prescribed Gattex and Mycapssa, helping eligible patients manage their treatment costs more effectively. By enrolling in the NORD: Short Bowel Syndrome (Premium & Copay) program, patients can benefit from streamlined access to their necessary medications and financial relief, under the condition of meeting specific eligibility criteria.
Insurance requirements: Commercially insured, Medicare / Medicaid
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
•Please note the following:
•1. Program offers assistance with insurance premiums and copays only
•2. Specific drug coverage is not indicated on program website; drug coverage must be verified by calling program
•3. Specialty Pharmacy representatives/case managers can send new referrals through the referral portal (https://rareaccess.org/#/login). Representatives must be preregistered by sending a request to RareAccess@rarediseases.org. Representatives can also email the program email address. To make the problem resolution quicker and more efficient please do not send messages to individual emails. If the matter is URGENT, please reach out to SP account manager for NORD to escalate the issue
•Patients an apply online, call (8552189877) or email (sbs@rarediseases.org) program to enroll
•Awards are made for a calendar year, and patients may reapply for subsequent years
•NORD is able to offer same day approval for programs
•Patients must undergo a financial evaluation of need, and provide HIPPA authorization and accept a waiver of liability
•Fax number for program is 2034298717
Enrollment Forms
Enrollment Form