KYOWA KIRIN
Kyowa Kirin Cares Patient Assistance Program - Poteligeo
Information last checked September 22, 2026
Contact info
- Phone
- 1-833-552-2737
- Fax
- 1-844-267-5848
Eligibility
- Patient must be uninsured.
- Patients with Medicare Part D are not eligible.
- This program also provides co-pay assistance.
- Income limit, single
- 400% of the federal poverty level
- Income limit, couple
- 400% of the federal poverty level
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Yes
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- NPI number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Provider and patient
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- New application every 12 months
Medications covered
- Poteligeo (mogamulizumab-KPKC)