Voydeya Free Trial

Funded

About

The Voydeya Free Trial program offers eligible patients a unique opportunity to receive a free 30-day supply of Voydeya. This program is designed to help new patients start their treatment journey with Voydeya at no initial cost. By enrolling in OneSource, patients can seamlessly access this benefit and begin experiencing the advantages of Voydeya for their prescribed FDA-approved indication.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Benefits

•1 maximum fills per year

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

•Eligible patients new to Voydeya can receive a free 30day supply

•HCP should submit completed enrollment form via fax to OneSource at 18004205150 or email to OneSource@alexion.com

•For assistance or additional information, call 8887654747, MondayFriday, 8:30AM to 8PM ET

Enrollment Forms

Enrollment Form