Lundbeck Migraine Patient Assistance Program

Funded

About

The Lundbeck Migraine Patient Assistance Program provides vital support for patients in need of the drug Vyepti, offering assistance to those who meet specific eligibility criteria and have limited financial resources. By participating in the Lundbeck Migraine Patient Assistance Program, patients gain access to necessary medication support, backed by a straightforward enrollment process and the possibility of renewing assistance annually.

Insurance requirements: Medicare / Medicaid, Underinsured, Uninsured

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: Yes

•Activation Required: No

Program Details

•Lundbeck Migraine Patient Assistance Program may be available for patients who have limited financial resources and who meet Program eligibility criteria

•HCP and patient should complete the enrollment form and fax (with all required financial documentation) to 8668890580

•Patient household income documentation is required to process the application

•Approved patients are enrolled through the remainder of the calendar year and must reapply to continue receiving assistance

•Call 8772889125 MondayFriday, 8AM to 6PM EST for assistance or additional information

Enrollment Forms

Enrollment Form