myAgios: Pyrukynd Coverage Interruption Program

Funded

About

The myAgios: Pyrukynd Coverage Interruption Program provides an invaluable service to patients who are currently undergoing treatment with Pyrukynd and have endured a temporary loss or change in their insurance coverage. Offering a 28-day prescription with up to 2 refills at no cost, this program ensures continuity of treatment for patients residing in the United States, including Puerto Rico. By participating in the myAgios: Pyrukynd Coverage Interruption Program, patients can maintain their health regimen while resolving coverage issues.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•1 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Patients currently taking Pyrukynd that have experienced a temporary loss or change in coverage will receive a 28day prescription (with up to 2 refills) at no cost

•Access to this program will end once insurance coverage for the product is secured

•Upon insurance approval, a new prescription will be required and will then be fulfilled by an exclusive specialty pharmacy

•HCP can enroll patient online, or can print and fax the completed enrollment form to 8009517814

•For more information, contact myAgios Patient Support Service at 18009513889

Enrollment Forms

Enrollment Form