Hetlioz Solutions Patient Copay Assistance Program

Funded

About

The Hetlioz Solutions Patient Copay Assistance Program offers invaluable benefits to patients by providing access to the drug Hetlioz at little or no cost. The Hetlioz Solutions Patient Copay Assistance Program simplifies the process through coordination between patients and their healthcare providers, enhancing affordability and accessibility. With services like benefits investigation, eligibility checks, and ongoing support, the Hetlioz Solutions Patient Copay Assistance Program is dedicated to ensuring that patients receive the necessary treatment with ease.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•12 maximum fills per year

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 patients may receive Hetlioz at little or no cost

•Patient or doctor should first call Hetlioz Solutions for assignment of a Patient Care Coordinator

•Completed Prescription & Service Request Form should be faxed to: 18443642424

•Program will conduct a benefits investigation and program eligibility

•Patient Care Coordinator will work with patient to determine copayment or deductible

•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