Onpattro Patient Assistance Program

Funded

About

The Onpattro Patient Assistance Program offers invaluable support for patients prescribed the drug product Onpattro. This program is designed to assist eligible uninsured or functionally uninsured patients by providing Onpattro at no cost. With the Onpattro Patient Assistance Program, Alnylam emphasizes its commitment to ensuring patients have access to necessary medication through straightforward enrollment processes and comprehensive support throughout treatment.

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 uninsured or functionally uninsured patients with no coverage may receive Onpattro at no cost

•HCP can enroll patients by electronic start form, print and fax completed start form to 18332562747 or DocuSign eSignature via email

•For more information about Alnylam Assist, call 18332562748 Monday Friday 8am 6pm ET

•All program details will be discussed with physician & patient once the Start Form has been submitted

Enrollment Forms

Enrollment Form