IncyteCARES for Zynyz Patient Assistance Program

Funded

About

The IncyteCARES for Zynyz Patient Assistance Program is designed to provide significant benefits to patients prescribed Zynyz. By enrolling in the IncyteCARES for Zynyz program, eligible patients who lack prescription drug insurance or face affordability issues can receive Zynyz at no cost, ensuring access to necessary medication without financial burden.

Insurance requirements: Commercially insured, Medicare / Medicaid, 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 do not have prescription drug insurance or who have trouble affording their outofpocket costs for Zynyz may be able to receive their medication at no cost

•The program provides free medication, but does not cover the cost to administer infusions

•HCP can fax the completed enrollment form to 8555257207

•For assistance or additional information, call 8554525234, Monday through Friday, 8 am–8 pm ET

Enrollment Forms

Enrollment Form