Lybalvi Patient Assistance Program

Funded

About

The Lybalvi Patient Assistance Program offers valuable benefits to uninsured patients needing Lybalvi. This program provides eligible patients with access to Lybalvi treatment at no charge for up to 12 months, encouraging those prescribed Lybalvi for on-label uses to apply. The Lybalvi Patient Assistance Program serves as an important resource for patients, ensuring access to necessary medication without financial burdens.

Insurance requirements: Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Provides qualifying uninsured patients access to LYBALVI treatment at no charge for up to 12 months

•Restrictions apply

•Must be delivered to a location within the 50 states (excluding PR and US territories)

•For more information patients must call 1844LYBALVI (18445922584), Monday through Friday, 9 AM to 8 PM ET

Enrollment Forms

Enrollment Form