Contact info
- Phone
- 1-866-547-0644
- Fax
- 1-877-549-7219
Eligibility
- Patient must be uninsured or underinsured and meet program income guidelines which are not disclosed.
- Patients with Medicare Part D may be eligible, contact program for details.
- This program also provides co-pay and reimbursement assistance.
- 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
- Proof of income
- Prescription
- Prescriber license number
- NPI number
- DEA number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Patient
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider or patient
- Supply per shipment
- Varies
- Time to first delivery
- Not published
- Refills
- A reorder form is sent with each shipment.
- Staying enrolled
- New application every 12 months
- New proof of income every 12 months
Medications covered
- Kineret (anakinra)