Qinlock Rapid Start Program
Funded
About
The Qinlock Rapid Start Program offers patients a beneficial pathway to access Qinlock, a critical drug for FDA-approved indications. This program aids patients with temporary access to Qinlock, particularly in cases of delayed insurance coverage or during appeals, ensuring patients receive essential treatment promptly. With up to five refills available, the Qinlock Rapid Start Program provides a seamless and supportive experience for patients with both private and government insurance in the US and its territories.
Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•Eligible patients dealing with delayed coverage decisions or appeals may be eligible to receive a temporary supply of QINLOCK
•Eligible patients may receive a 10day supply with up to 5 refills
•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