Deciphera AccessPoint Patient Assistance Program: Qinlock

Funded

About

The Deciphera AccessPoint Patient Assistance Program: Qinlock offers significant benefits for patients prescribed the drug Qinlock. Designed to assist eligible uninsured or functionally uninsured patients, the program ensures access to Qinlock at no cost, provided they meet specific eligibility criteria. Through the Deciphera AccessPoint Patient Assistance Program: Qinlock, patients can overcome financial barriers and receive their prescribed medication efficiently.

Insurance requirements: Medicare / Medicaid, 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 underinsured patients may be able to receive medication at no cost

•HCP should fax completed enrollment form to 8333274329

•For assistance or additional information, call 8334322237 (Monday–Friday 8AM–8PM ET) or email info@decipheraaccesspoint.com

Enrollment Forms

Enrollment Form