Arcutis Cares Patient Assistance: Zoryve

Funded

About

The Arcutis Cares Patient Assistance: Zoryve program offers significant benefits, providing the drug product Zoryve at no cost to eligible patients who meet specific criteria. This program ensures access to medication for those facing financial hardship and covers up to 12 months of the prescribed treatment, making it an invaluable resource for patients prescribed Zoryve.

Insurance requirements: Medicare / Medicaid, 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

•Arcutis Cares provides Arcutis medicine at no cost to eligible patients in financial need

•Enrollment is good for up to 12 months of the requested medication to be dispensed through the Program

•Patients may apply or ask for assistance by calling 8556003755 (MondayFriday, 8 AM8 PM ET)

•Patients may also apply by downloading and completing enrollment form with their HCP

•Fax completed enrollment form to 8552379113 along with any required financial eligibility documents, or mail to Arcutis Cares Patient Assistance Program, 9 Commerce Drive, Schaumburg, IL 60173

•Proof of income for patient's entire household is required; current tax return is preferred

•Once application has been started, program will contact patient via email or text with next steps

•Upon completion of application, program will review application and contact both patient and HCP to confirm if patient meets the eligibility requirements to enroll

Enrollment Forms

Enrollment Form