Zejula Quick Start and Bridge Programs

Funded

About

The Zejula Quick Start and Bridge Programs provide critical support for patients needing the drug Zejula. These programs are designed to ensure that eligible commercially insured patients can access Zejula without delay, offering temporary supplies of the medication during insurance coverage interruptions. The Zejula Quick Start Program is ideal for new prescriptions, while the Zejula Bridge Program supports those already on the medication. With these programs, Zejula helps patients navigate insurance challenges and maintain their treatment schedule effectively.

Insurance requirements: Commercially insured, Underinsured

Enrollment Forms

Enrollment Form

Program Requirements

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Zejula Quick Start Program: Eligible commercially insured patients may be provided with a temporary supply of medication if experiencing a delay in coverage at first dispense

•Zejula Bridge Program: Eligible commercially insured patients currently taking Zejula may be provided with a temporary supply of medication if experiencing a coverage interruption with their insurance

•Maximum number of refills may apply, pending resolution of related coverage delay

•HCP should complete enrollment form and fax to 8006459043

•For questions, call 18444475662 MondayFriday (8 AM to 8 PM ET)

Enrollment Forms

Enrollment Form