Tavneos Connect Quick Start Program

Funded

About

The Tavneos Connect Quick Start Program offers a vital opportunity for patients who need immediate access to Tavneos, an FDA-approved treatment. By ensuring eligible patients can receive up to a 30-day supply quickly, the Tavneos Connect Quick Start Program helps prevent delays in critical therapy. This program is ideal for those whose insurance requires prior authorization and where a healthcare provider believes any delay could negatively impact clinical outcomes.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Program initially provides up to a 30day supply of TAVNEOS to eligible patients whose insurance plan requires an authorization and whose HCP believes a delay in therapy could lead to negative clinical outcomes

•HCP and patient must complete Start Form either online, or download the PDF form and fax to 8332007366

•AssistRx Patient Solutions Pharmacy will dispense the medication

•For more information patients must call TAVNEOS Connect Team at: 18338286367 (choose option 2) available Monday through Friday from 8 AM to 8 PM ET

Enrollment Forms

Enrollment Form