FERRING PHARMACEUTICALS, INC.
Euflexxa Patient Assistance Program
Information last checked February 17, 2023
Contact info
- Phone
- 1-844-826-2851
- Fax
- 1-866-959-9263
Eligibility
- Patient must not have insurance coverage.
- Patients with Medicare Part D are not eligible.
- Income limit, single
- 300% of the federal poverty level
- Income limit, couple
- 300% 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
- 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
- Not published
- Shipped to
- Provider
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Euflexxa (sodium hyaluronate)