Biogen Support Services: Qalsody

Funded

About

The Biogen Support Services: Qalsody program offers comprehensive assistance to patients in need of the drug Qalsody. This program is designed to provide financial support to eligible patients, ensuring access to this critical medication. With the Biogen Support Services: Qalsody program, patients can expect streamlined support for obtaining prescriptions and managing treatment costs, all while receiving guidance from a dedicated team.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

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: Yes

•Activation Required: No

Program Details

•Eligible patients may be able to receive financial assistance for their medication

•HCP should fax completed application form to 8885389781 or email: StartForm@Biogen.com

•For assistance or additional information, call 8777257639, MondayFriday from 8:30 AM to 8 PM ET

Enrollment Forms

Enrollment Form