ALCRESTA THERAPEUTICS, INC.
RELiZORB Patient Assistance Program
Information last checked October 13, 2026
Contact info
- Phone
- 1-844-632-9271
- Fax
- 1-844-233-3146
Eligibility
- Patient must be uninsured or underinsured.
- All applications are reviewed on a case-by-case basis
- Patients with Medicare Part D should contact program for details.
- Program also provides copay assistance.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- 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
- DEA 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
- Not published
Medications covered
- Relizorb (immobilized lipase cartridge)