Alexion OneSource

Funded

About

The Alexion OneSource program provides invaluable assistance to eligible patients by offering access to essential drugs such as Soliris, Ultomiris, Voydeya, Kanuma, Strensiq, and Koselugo at no cost. The program ensures that patients without prescription insurance and meeting specific income criteria can receive their necessary medications with the support of Alexion OneSource, enhancing accessibility and facilitating continuity in treatment through a straightforward enrollment process.

Insurance requirements: 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

•Completed enrollment form can be faxed to OneSource at 18004205150 or emailed to OneSource@alexion.com

•For assistance or additional information, call 8887654747, MondayFriday, 8:30 am to 8 pm ET

Enrollment Forms

Enrollment Form