myAgios: Pyrukynd Patient Assistance Program

Funded

About

The myAgios: Pyrukynd Patient Assistance Program offers a valuable opportunity for individuals with PK deficiency to access the drug product Pyrukynd at no cost. This program, named myAgios: Pyrukynd Patient Assistance Program, ensures that uninsured or underinsured patients in the United States, including Puerto Rico, can receive important treatment support without financial burden. By participating in the myAgios: Pyrukynd Patient Assistance Program, eligible patients can consistently access Pyrukynd, helping manage their condition effectively.

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

•Patients will receive product at no cost for up to a full calendar year

•Nocost prescription will be filled by myAgios

•Patients must be uninsured and underinsured adults with PK deficiency

•Access to this program will end once insurance coverage for the product is secured and outofpocket cost is affordable

•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, MondayFriday 8am6pm ET

Enrollment Forms

Enrollment Form