A·S·A·P Co-pay Program: Skytrofa
Funded
About
The A·S·A·P Co-pay Program: Skytrofa offers significant financial support for eligible patients requiring the Skytrofa medication. This program helps commercially insured patients lower their out-of-pocket expenses, allowing them to pay as little as $5 per monthly prescription with a maximum benefit of up to $6000 annually. The A·S·A·P Co-pay Program: Skytrofa is exclusive to patients with private insurance in the United States and territories and excludes those with state or federally funded insurance plans.
Insurance requirements: Commercially insured
As low as: $5 per mo
Enrollment Forms
Enrollment Form
Benefits
•$6000 annual maximum benefit
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 commercially insured patients may pay as little as $5 per monthly prescription
•Maximum benefit of up to $6000 per calendar year
•HCP should fax or email completed Statement of Medical Necessity Form to: (Fax) 8884360193 or (Email) info@ascendissupport.com
•For assistance or additional information, call 8444427236, Monday Friday, 8 AM to 8 PM ET
Enrollment Forms
Enrollment Form