Contact info
- Phone
- 1-877-752-5933
- Fax
- 1-888-952-5933
Eligibility
- Program offers co-pay assistance, patient support, coverage and reimbursement support as well as referral for patient assistance programs.
- 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
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Not published
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
- Alyftrek (vanzacaftor-tezacaftor-deutivacaftor tablet)
- Kalydeco (ivacaftor)
- Orkambi (lumacaftor/ivacaftor)
- Symdeko tablet (tezacaftor/ivacaftor)
- Trikafta tablet (elexacaftor/tezacaftor/ivacaftor)