JazzCares Bridge Program

Funded

About

The JazzCares Bridge Program offers valuable support for patients prescribed Xyrem or Xywav who face potential therapy interruptions due to changes in insurance coverage. By providing a temporary supply of these medications, the JazzCares Bridge Program ensures continuity of care, available exclusively for patients with commercial insurance in the U.S. and its territories. The program is tailored to meet the needs of patients while adhering to specific eligibility criteria, making the JazzCares Bridge Program a critical resource for managing transitions in therapy coverage.

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

•The Bridge Program is for patients who have commercial insurance that are at risk of therapy interruption due to a change in insurance or change in insurance coverage for XYWAV or XYREM

•Eligible patients may receive up to a one hundred and twenty (120) day supply (4 months) of XYREM or XYWAV or until commercial insurance coverage has been established or they have transitioned to a different therapy or discontinued therapy, whichever comes first, given in up to fifteen (15) day increments

•Fax completed Patient Authorization Form to 18664701744

•For more information call 18335335299, MondayFriday, 8AM8PM ET

Enrollment Forms

Enrollment Form