REACH4RYTELO Patient Assistance Program

Funded

About

The REACH4RYTELO Patient Assistance Program offers an essential lifeline by providing the drug Rytelo to eligible uninsured and certain Medicare Part D patients at no cost. The program is designed to ensure that those who need Rytelo for FDA-approved indications can access it, provided they meet specific residency, insurance, and income criteria. The REACH4RYTELO program underscores its commitment to care by facilitating patient access to necessary treatments.

Insurance requirements: Medicare / Medicaid, 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 patients may be able to receive medication free of charge

•Certain Medicare Part D patients may also be eligible

•HCP must submit completed enrollment form via fax: 8882242518 or email: Support@REACH4RYTELO.com

•For assistance or additional information, call 8444798356, Monday to Friday 8:00 AM8:00 PM ET, excluding major holidays

Enrollment Forms

Enrollment Form