Skytrofa Patient Assistance Program

Funded

About

The Skytrofa Patient Assistance Program provides vital support for those using the medication Skytrofa. This program aims to help uninsured patients gain access to this essential drug free of charge, emphasizing its availability to eligible individuals via simple application procedures. Through the Skytrofa Patient Assistance Program, patients can receive necessary care without the burden of financial constraints, ensuring treatment with the Skytrofa drug remains accessible for those who qualify.

Insurance requirements: 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

•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