NORD: Rare Pediatric GI (Medical Assistance)
Not Funded
About
The NORD: Rare Pediatric GI (Medical Assistance) program offers vital support for children with rare gastrointestinal conditions by providing access to a wide range of drug products, including Humira, Remicade, and Adalimumab variants. This program is designed to assist uninsured or underinsured patients under 18 years old, ensuring they receive necessary medical assistance while adhering to financial guidelines. NORD: Rare Pediatric GI (Medical Assistance) facilitates quick approvals and offers a streamlined application process to help families in need.
Insurance requirements: Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Please note the following:
•1. Specific drug coverage is not indicated on program website; drug coverage must be verified by calling program
•2. 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 may apply online, call (2038967261) or email (RarePedGI@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 2036352130
Enrollment Forms
Enrollment Form