Ipsen Cares Patient Assistance Program: Increlex

Funded

About

The Ipsen Cares Patient Assistance Program: Increlex offers eligible patients the opportunity to receive the drug Increlex at no cost. This beneficial program is designed for those who are uninsured or functionally uninsured, providing vital access to Increlex. By facilitating enrollment through an online platform or via fax, the Ipsen Cares Patient Assistance Program: Increlex is committed to supporting patient health with an easily accessible assistance service.

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

•Eligible patients may be able to receive medication free of charge

•Patient and HCP may enroll online, or submit completed enrollment form via fax to 8885252416

•For assistance or additional information, call 8664355677, 8:00 am to 8:00 pm ET, Monday Friday

Enrollment Forms

Enrollment Form