VIATRIS, INC.
Viatris Patient Assistance (Group 1 Medications)
Information last checked August 12, 2026
Contact info
- Phone
- 1-888-417-5780
- Fax
- 1-877-427-7290
Eligibility
- Patient must be fully uninsured.
- Each applicant will be individually assessed for program eligibility based on the information provided on the application.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- 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
- Not published
Getting the medication
- Patient receives
- As prescribed
- Shipped to
- Provider
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Arixtra (fondaparinux sodium)
- Breyna (budesonide and formoterol fumarate dihydrate)
- Clozapine (clozapine)
- Cortifoam (hydrocortisone acetate 10%)
- Cystagon (cysteamine bitartrate))
- Denavir (penciclovir)
- Dipentum (olsalazine sodium capsules)
- Dymista Nasal Spray (azelastine/fluticasone propionate)
- EMSAM (selegiline transdermal)
- Felbatol (felbamate)