Amgen By Your Side Patient Assistance Program: Uplizna
Funded
About
The Amgen By Your Side Patient Assistance Program: Uplizna offers vital support to eligible patients by providing access to the drug Uplizna at no cost. This program helps uninsured U.S. citizens or legal residents who meet specific income guidelines and have a valid prescription. The Amgen By Your Side initiative streamlines access to Uplizna, ensuring patients can receive necessary treatment efficiently and effectively.
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 patients may be able to receive medication free of charge
•HCP should fax completed enrollment form to 8333298477 or emailed to UPLIZNAABYS@amgen.com
•Enrollment form may also be submitted online
•For assistance or additional information, call 8338428477
Enrollment Forms
Enrollment Form