Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 1 of 3   Scroll down to see them all.  Updated June 10, 2013 Back | Print Page

Genzyme Co-Pay Assistance Program

Provided by:


Genzyme Corporation
Genzyme Corportation
500 Kendall St.
Cambridge, MA 02142

TEL: 800-745-4447 opt 3


ALT PHONE:
FAX:
Program Website

Languages Spoken: English

Patient assistance
applications


 

Medications

Cerezyme IV  (imiglucerase)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status Must have insurance
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Medically appropriate condition
US Residency Required? Must be US citizen or legal entrant (Infusion costs are not covered in MA, MI, MN or RI)
Obtaining Call or complete online
Receiving Not specified
Returning Not specified
Doctor's Action Not specified
Applicant's Action Complete online enrollment
Decision Communicated Patient and Doctor or Specialty Pharmacy are notified
Decision Timeframe 7-10 business days
Amount/Supply Not applicable
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Up to one year
Re-application Varies

Additional Information:

This program assists with out-of-pocket drug cost related to treatment with one of Genzyme's enzyme replacement therapies and certain infusion related costs:
Out-of-pocket costs such as drug and infusion related co-pays, co-insurance and deductibles are eligible for reimbursement.

Please visit a Genzyme product's website to complete the online application or call.
Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 2 of 3   Scroll down to see them all.  Updated May 21, 2013 Back | Print Page

This program provides brand name medications at no or low cost.

Charitable Access Program (CAP)

Provided by:


Genzyme Charitable Foundation, Inc.
Genzyme Corportation
500 Kendall St.
Cambridge, MA 02142

TEL: 800-745-4447, opt 0, ext 16595


ALT PHONE:
FAX: 617-768-9764
 Program Website

Languages Spoken: English

Patient assistance
applications


 

Medications

Cerezyme IV  (imiglucerase)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status Not specified
Those with Part D Eligible? Not specified
Income Not disclosed
Diagnosis/Medical Criteria FDA-approved diagnosis.
US Residency Required? Not specified
Obtaining Call for prescreening
Receiving Sent to patient
Returning Mail
Doctor's Action Write letter of intent to treat and include statement of medical necessity
Applicant's Action Complete section, sign, attach proof of income
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Reviewed monthly
Amount/Supply Varies
Sent To Doctor's office or specific site
Delivery Time Not specified
Refill Process Determined on a case by case basis
Limit Not specified
Re-application Not specified

Additional Information:

Qualified individuals with Lysosomal Storage Disorders (Gaucher Disease, Fabry Disease, MPS1 and Pompe Disease) whose physicians have recommended treatment may be eligible for this program. This is considered a temporary funding program. Patients and their families are expected to continue exploring alternative resources with the assistance of a Genzyme case manager
Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 3 of 3.  Updated February 12, 2013 Back | Print Page

This is a copay assistance program.

Patient Access Network Foundation

Provided by:


Patient Access Network Foundation
PO Box 221858
Charlotte, NC 28222

TEL: 866-316-7263


ALT PHONE:
FAX: 866-316-7261
 Program Website

Languages Spoken: English, Spanish, Others By Translation Service

Patient assistance
applications


 

Medications

Cerezyme Injection  (imiglucerase)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status Must have insurance
Those with Part D Eligible? Yes
Income At or below 500% of FPL
Diagnosis/Medical Criteria Medically appropriate condition
US Residency Required? Must reside and receive treatment in US
Obtaining Call or complete online
Receiving Sent out or may be completed online
Returning Fax, mail or submit online
Doctor's Action Will be discussed with patient and Doctor after request is received
Applicant's Action Complete section, sign, attach proof of income
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Within 48 hours
Amount/Supply Not applicable
Sent To Patient sent card to be used at pharmacy
Delivery Time Once approved ; shipped same day.
Refill Process Patient presents voucher/card to pharmacy for each refill
Limit None
Re-application New application every 12 months

Additional Information:

Call for most recent medications as the list is subject to change.



Read our privacy policy.

Copyright ©2013 by NeedyMeds, Inc.
Contents may not be reproduced in any form except for personal use
and may not be used on any other website without permission.

NeedyMeds, a registered 501(c)(3) national nonprofit (#75-2982493), makes every effort
to ensure the accuracy of the information on the website.
However, we can't guarantee the accuracy or completeness of the information.
Always check with the individual program if you have questions.