Trogarzo Co-Pay Assistance Program

Funded

About

The Trogarzo Co-Pay Assistance Program provides financial aid to commercially insured patients prescribed Trogarzo for FDA-approved indications. This program is designed to ease out-of-pocket expenses, ensuring timely access to Trogarzo therapy. The Trogarzo Co-Pay Assistance Program is committed to supporting patients in their treatment journey.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

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 be able to receive financial assistance with their out of pocket costs

•Completed enrollment forms should be faxed to: 8558363069

•After receiving all required forms and documentation, a dedicated Patient care coordinator will begin the enrollment process immediately, to provide timely access to therapy

•For assistance or additional information, call 8332384372, MondayFriday, 8:30AM8:00PM ET

Enrollment Forms

Enrollment Form