TERSERA THERAPEUTICS LLC
TerSera SupportSource Patient Assistance Program - Xermelo
Information last checked August 31, 2026
Contact info
- Phone
- 1-844-937-6356
- Fax
- 1-855-215-5318
Eligibility
- Patients with no insurance, Medicare/Medicaid - TerSera SupportSource will help identify an appropriate patient assistance program if available for qualifying patients.
- Co-pay assistance, and patient assistance programs are available for eligible patients.
- 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
- No
- US citizenship or residency required
- Not published
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Proof of income
- Prescriber license number
- Not published
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Patient
Getting the medication
- Patient receives
- Varies
- Shipped to
- Not published
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Xermelo (telotristat ethyl)