KevzaraConnect Patient Assistance Program (PMR)

Funded

About

The KevzaraConnect Patient Assistance Program (PMR) offers significant benefits for patients seeking affordable access to Kevzara. The program is specifically designed for those who are uninsured or underinsured, ensuring they can receive the essential medication they need at no cost. By offering support through licensed U.S. healthcare providers, the KevzaraConnect Patient Assistance Program (PMR) is dedicated to making Kevzara accessible for all eligible patients.

Insurance requirements: Medicare / Medicaid, 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

•HCP should fax completed application form to 18445388960 or upload page 1 to the Patient Support Portal (www.patientsupportnow.org and enter code 8445388960)

•For assistance or additional information, please call 8445389272

Enrollment Forms

Enrollment Form