Oxlumo Patient Assistance Program

Funded

About

The Oxlumo Patient Assistance Program offers a vital opportunity for patients needing the drug Oxlumo to receive it at no cost. With a focus on providing support for uninsured or functionally uninsured patients, the Oxlumo Patient Assistance Program ensures that eligible individuals receive the necessary medication while working closely with healthcare providers for seamless enrollment and communication.

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 Oxlumo 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