Orfadin4U Copay Assistance Program

Funded

About

The Orfadin4U Copay Assistance Program provides substantial benefits to patients prescribed Orfadin by offering a $0 copay for those who are eligible. This program ensures that patients can receive their medication either directly or through their doctor's office with streamlined enrollment and no expiration date, as long as Orfadin is prescribed. The Orfadin4U Copay Assistance Program is dedicated to making Orfadin accessible by handling insurance verification and offering comprehensive support for eligible U.S. residents.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$10000 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•$0 copay for eligible patients

•Patient's doctor must enroll patient in the Orfadin4U program; completed forms and prescription should be faxed to 18774733049

•Medication can be shipped to patients or doctor's office following insurance verification

•Patient will be enrolled for program as long as he/she is prescribed Orfadin no expiration date or reenrollment necessary

•For any questions please call 8774733179 (7:00 am — 6:00 pm CST) or email orfadin.us@sobi.com

Enrollment Forms

Enrollment Form