Ingrezza Patient Assistance Program

Funded

About

The Ingrezza Patient Assistance Program offers significant benefits for patients requiring Ingrezza or Ingrezza Sprinkle. By participating in the Ingrezza Patient Assistance Program, eligible patients in the United States or US Territories may receive their medication at no cost, provided they meet specific criteria related to residency, prescription coverage, and income. The Ingrezza Patient Assistance Program emphasizes accessibility and support for patients with limited insurance options.

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 INGREZZA at no cost

•HCP and patient should fax completed Patient Assistance Program application form to 8443947155

•HCP and patient can also apply online via the link at http://inbracesupportprogram.com/ingrezzahcpfinancialassistance/

•For additional assistance, call 8446473992, Monday Friday, 8 am–8 pm ET

Enrollment Forms

Enrollment Form