Keveyis Bridge Program
Funded
About
The Keveyis Bridge Program offers significant benefits by providing eligible patients access to Keveyis at no cost while they work on securing insurance coverage. The program is specifically designed for those with commercial insurance who have a valid prescription and have experienced a denial of coverage through a prior authorization. By simplifying the process and offering robust support, the Keveyis Bridge Program stands out as a crucial resource for patients in need.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Program Requirements
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients may receive Keveyis at no cost while pursuing insurance coverage
•Must have commercial insurance, a valid prescription for Recorlev, and a denial of insurance coverage based on a prior authorization request to qualify
•HCP and patient should fax completed Prescription Start Form and relevant medical documentation to 8445381030
•Call Xeris CareConnection at 8445383947, Monday through Friday from 8 AM to 7 PM ET for assistance or additional information
Enrollment Forms
Enrollment Form