IncyteCARES for Opzelura Patient Assistance Program

Funded

About

IncyteCARES for Opzelura Patient Assistance Program offers vital support to individuals needing Opzelura by assisting those with limited or no prescription insurance coverage. This program helps patients access Opzelura at no cost, providing substantial relief and support through its comprehensive criteria tailored for uninsured or underinsured patients in the U.S. or U.S. Territories.

Insurance requirements: Medicare / Medicaid, 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 are uninsured or underinsured may be eligible for free OPZELURA from Incyte

•HCP should complete and fax the Prescription and Enrollment Form to 8778013840

•For assistance or additional information, call 8005836964 , Monday through Friday, 8 am–8 pm ET

•Completed enrollment form should fax on 18778013840

Enrollment Forms

Enrollment Form