Kisqali Bridge Program
Funded
About
The Kisqali Bridge Program offers significant benefits for patients by providing up to 5 free treatment cycles of Kisqali while pursuing health plan coverage. Designed for those who have private insurance and a valid prescription for Kisqali, the program ensures access to necessary medication even while awaiting insurance approval, making it a valuable resource for eligible patients.
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 can receive up to 5 free treatment cycles of Kisqali while their health plan coverage is pursued
•Privately insured patients waiting for their coverage to take effect for KISQALI and/or FEMARA (including generic letrozole) may be eligible for an additional supply of KISQALI that could continue for up to 5 treatment cycles
•Once the form is completely filled out, fax form to 8004143518
•For questions or concerns, call 18664338000 MF 8AM 8PM EST, excluding holidays
Enrollment Forms
Enrollment Form