•Eligible uninsured or underinsured patients may be able to receive free medication
•HCP should fax the application and documentation to 8552106228, or mail to: Zenpep and Viokace Patient Assistance Program PO BOX 66520, St. Louis, MO 63166
•Upon receipt of a completed application, notification of eligibility will be sent to the prescriber and patient
•Approved patients will get a 90day supply of the medication shipped to the licensed prescriber indicated on the application
•NonMedicare enrollees are approved for 12 months; Medicare enrollees are approved until the end of the calendar year
•Call 8552106228 Monday through Friday 8 am – 5 pm US CST for additional assistance