Skytrofa Bridge Program

Funded

About

The Skytrofa Bridge Program offers a vital support solution for privately insured patients prescribed the drug Skytrofa, particularly assisting those experiencing treatment gaps due to job transitions or prior authorization expirations. With a focus on easing access to necessary medication, the Skytrofa Bridge Program ensures continued care by providing detailed assistance and support during transitions, exclusively for patients residing in the United States, Puerto Rico, Guam, and the Virgin Islands.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•1 maximum fills per year

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•The Skytrofa Bridge Program is available for commercially insured patients experiencing a gap in treatment due to job changes or PA expirations

•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

Other Programs

A·S·A·P Co-pay Program: Skytrofa

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Max Saving: $6000/year*

Pay as low as

$5/ mo

HealthWell: Growth Hormone Deficiency

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Max Saving: $2800/year*

Other Tools for Skytrofa

Get patient education materials