Sabril StarterRX Program
Funded
About
The Sabril StarterRX Program offers new patients a remarkable opportunity to receive a one-time, 30-day supply of the drug Sabril. Designed specifically for commercially insured patients aged 17 years and older, this program ensures that patients with a valid Sabril prescription and an FDA-approved diagnosis can access their initial treatment easily. The Sabril StarterRX Program streamlines the process with simple steps and dedicated support, making it an essential benefit for those beginning their journey with Sabril.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Program Requirements
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•The StarterRx Program provides a onetime, 30day supply of Sabril to new, eligible, and commercially insured patients aged 17 years and older who have a valid Sabril prescription and an onlabel diagnosis
•HCP must fax completed Treatment Form to 8777421002, or may complete the form online
•Call 8446010101, Monday–Friday, 8 AM–6 PM EST, for assistance or additional information
Enrollment Forms
Enrollment Form