Vistogard Co-Pay Assistance Program

Funded

About

The Vistogard Co-Pay Assistance Program offers financial support for individuals prescribed Vistogard, ensuring access to essential medication. This program facilitates a comprehensive benefits investigation and handles medication dispatch through BioMatrix Specialty Pharmacy. By enrolling in the Vistogard Case Management Program, patients can seamlessly access their medication with minimal hassle.

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

•HCP should enroll patients in the Vistogard Case Management Program as soon as the decision is made to start medication

•Program will then conduct a benefits investigation to determine eligibility & benefit amounts

•Medication will be dispatched via BioMatrix Specialty Pharmacy

•HCP and patient must complete form and fax to 8443740605

•For any question, please call 18443740604

Enrollment Forms

Enrollment Form