Viatris Patient Assistance Program: Group One Medicines

Funded

About

The Viatris Patient Assistance Program: Group One Medicines offers eligible patients free access to essential medications, including Gastrocrom, Yupelri, Arixtra, Miacalcin, Rowasa, Felbatol, Cystagon, Dipentum, and SF Rowasa. The Viatris Patient Assistance Program supports uninsured or underinsured U.S. residents who meet financial criteria, providing benefits to improve their health without the burden of medication costs.

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

•Eligible patients may receive Group One drugs free of charge

•Program duration per eligibility period is 12 months, and the maximum number of refills per eligible patient is 11 for each unique enrollment.

•Application must be completed and signed, then faxed to 8774277290 or emailed to ViatrisPAP@viatris.com

•Call Viatris Patient Assistance Program Customer Service with any questions: 8884175780, MondayFriday, 8am5pm EST

Enrollment Forms

Enrollment Form