Inpefa Together Free Trial Voucher

Funded

About

The Inpefa Together Free Trial Voucher offers a tremendous opportunity for patients new to Inpefa to receive their first 30-day supply at no cost. This program is specifically designed to aid patients in the United States and US territories by providing an easy and cost-free entry point to Inpefa. Utilize the Inpefa Together Free Trial Voucher to seamlessly transition into a program that ensures affordability and accessibility of the Inpefa drug.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Benefits

•1 maximum fills per year

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: No

•Activation Required: Yes

Program Details

•Patients new to Inpefa are eligible to receive their first 30day supply at no cost

•Patient must activate the voucher prior to having their prescription filled by the pharmacy by calling 8552467332

•After the initial free trial, the copay program will be automatically applied for eligible patients who utilized the voucher with no action required

•For additional assistance, call 8552467332 Monday to Friday 8 AM to 8 PM ET

Enrollment Forms

Enrollment Form