Chiesi Total Care Patient Assistance Program: Lamzede

Funded

About

The Chiesi Total Care Patient Assistance Program: Lamzede offers an invaluable opportunity for eligible patients to receive the drug Lamzede at no cost. By assisting those who are uninsured or underinsured, the Chiesi Total Care Patient Assistance Program ensures that patients with a valid prescription and financial need can access the medication they require without burden. This program is a vital resource for residents of the United States or its territories, enabling them to maintain treatment with Lamzede by meeting specific eligibility criteria.

Insurance requirements: 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

•Patients who meet the financial requirements of the Chiesi Total Care Patient Assistance Program may be eligible to receive their medication at no cost

•HCP should fax completed enrollment form to Chiesi Total Care at 18559292828

•Proof of income is required to determine financial eligibility. Proof of income may include W2 form(s), paycheck stubs, and/or prior year tax returns

•For assistance or additional information, call 8552824883, Monday to Friday 7:00 AM – 6:00 PM (Central Time)

Enrollment Forms

Enrollment Form