ARCUTIS BIOTHERAPEUTICS, INC.
Arcutis Cares Patient Assistance Program
Information last checked August 26, 2022
Contact info
- Phone
- 1-855-600-3755
- Fax
- 1-855-237-9113
Eligibility
- Patient must be at least 12 years of age and a resident of the United States.
- Patients must be uninsured or patients with existing Medicare or Medicaid coverage must be able to attest to financial hardship.
- Income limit, single
- 150% of the federal poverty level
- Income limit, couple
- 150% of the federal poverty level
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- Not published
- 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
- 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
- Patient
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- New application every 12 months
- New proof of income every 12 months
Medications covered
- Zoryve cream (rofumilast cream)