Quzyttir Co-pay Program - Non-covered benefit

Funded

About

The Quzyttir Co-pay Program - Non-covered benefit helps patients access Quzyttir by easing the financial burden. Designed for commercially insured patients, this program offers a 60-day lookback to accommodate co-pay awareness and provides an easy reimbursement process. Patients using Quzyttir can benefit from this supportive program that simplifies managing their co-pay obligations.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Program allows a 60day lookback prior to enrollment to give patients time to understand their copay obligations

•Patients can get reimbursed by submitting proof of payment and a simple 1page form

•Call 8667899884 (MondayFriday, 9:00 AM6:00 PM EST) for more information

Enrollment Forms

Enrollment Form