Hetlioz Solutions Patient Assistance Program

Funded

About

The Hetlioz Solutions Patient Assistance Program offers comprehensive support to patients prescribed Hetlioz. Through the Hetlioz Solutions Patient Assistance Program, patients can access insurance counseling, financial eligibility assessments, and various support services, ensuring a smooth healthcare journey. The program is dedicated to helping patients obtain necessary medications and adhere to treatment plans through personalized assistance and seamless coordination with pharmacies.

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

•To begin, patient or HCP should call HETLIOZSolutions™ at 18444385469 to be assigned a Patient Care Coordinator

•Then, patient and HCP should fill out a Prescription & Service Request Form. Completed form should be faxed to 18443642424 to begin HETLIOZSolutions enrollment process

•Program will conduct insurance counseling and financial program eligibility

•Patient eligibility for free drug program depends on income, but details are only disclosed to patient

•Program then forwards patient information to Specialty Pharmacy, who coordinates with patient regarding any final details regarding starting therapy

•HETLIOZSolutions can provide patients with refill reminders, compliance and adherence assistance, as well as other support services

•For assistance, call 18444385469, from 9:00AM to 8:00PM, Eastern Standard Time

Enrollment Forms

Enrollment Form