888-856-7990

Patients must not have any insurance and are not eligible for state or federally funded healthcare programs The patient must meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also reside in the US. The program attempts to find ways to limit the cost of the medication to $75 a month. Those with insurance who are having difficulty paying for medication may be able to receive assistance. Those in Medicare Part D donut hole may also be helped. The p\prescriber must also be enrolled in the program using Letaris Physician Form.

Anyone requesting assistance can call to get an enrollment form sent out, or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application must be faxed or mailed from the doctor's office.  Both the doctor and patient are notified or acceptance or denial.  

The doctor must fill out a section and sign the application. The patient must fill out a section and sign the application.

Up to a 30-day supply is sent to the patient's home. The patient or doctor must contact the company for refills. 

866-664-5327

Applicants with insurance are eligible.    Patients must first be enrolled in LEAP ( Letairis Education and Access Program) in order to access this program. This program can help reduce the cost of Letairis, and works to try to reduce the out-of-pocket-expenses to $25 per month. Eligible patients may receive assistance of up to $9,200 per year towards the cost of therapy.

Forms are available by calling the program number above.      

Not applicable.

Not applicable.