Specialty Therapy Access Resources (STAR) Patient Assistance Program

Funded

About

The Specialty Therapy Access Resources (STAR) Patient Assistance Program offers invaluable support by providing the drugs Khapzory, Beleodaq, Evomela, Zevalin, and Folotyn free of charge to eligible patients. STAR Patient Assistance Program aims to help individuals who have limited or no prescription insurance coverage, reside in the United States, and meet certain income requirements, ensuring they receive necessary treatments at no cost. By focusing on patient accessibility, the STAR Patient Assistance Program bridges the gap for those in need of specialty therapies, reinforcing their commitment to healthcare accessibility.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients who meet income, insurance and eligibility criteria receive medication free of charge

•Patients must fax (18669301562) or mail completed enrollment form to: STAR Patient Enrollment, PO Box 220551, Charlotte, NC 282220551

•Enrollment form must include insurance and physician details & signature, & ICD diagnosis code

•If approved, the STAR distributor will ship patientlabeled product to the prescribing physician for future outpatient therapy

•The program does not replace product administered prior to the patient’s approval date

•Patient will be enrolled for 12 months, after which he/she must reapply

Enrollment Forms

Enrollment Form