800-456-2255

The patient must be uninsured or underinsured and meet income guidelines that are not disclosed. The patient must have a relapsing form of MS. The patient must also reside in the US. Patients will be referred to a financial assistance counselor to determine the most appropriate financial assistance option. Those with Medicare may be eligible. Decisions made on a case by case basis. There is no written application. Some income documentation may be requested. Patients must have resided in the US for the last 6 months. Program assistance can range from a temporary need up to a 2 year enrollment period.

The patient must call for a prescreening. There is no application.   The decision is made during the phone screening.  

The doctor/doctor's office must fax in a prescription. The patient must provide information and proof of income.

Up to a 90-day supply is sent to the doctor's office or the patient's home. The company contacts the patient to arrange for refills. The company will contact the patient regarding reapplication.

877-977-9118 ext. 10184

Individual eligibility and level of financial support is determined on a case by case basis.  Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. The Co-Pay Navigator is a full service program to help patients seek funding assistance for the co-pay portion of their required medications. There is no charge for this service. Physicians/physicians' offices may submit an application online at the website indicated above, or fax information as directed below.

The physician/physician's office should fax the prescription, diagnosis, patient demographics and any insurance information to 866-418-2650 Attn: Sandy/Funding.  A Patient Care Coordinator will contact the patient within 24-48 business hours.     

Will be discussed with the patient and physician after the initial request to the program is received. 

Not applicable.