1-877-242-2738, 1-866-474-8326

The patient must be uninsured or underinsured and is employed, has an income above 300% of FPG but less than $25,000 in household income AND meet one of the following criteria:1)no insurance or inadequate insurance 2) has changed jobs and has an insurance gap 3)has ins for pump/supplies but not drug 4)has ins but has pre-existing exclusion period The medication must be used for a FDA-approved diagnosis. Patient must reside in the US, be under the direct care of a licensed US physician and receive health care services via the US health care system. Patient may also call 1-724-778-3980 and ask for Heather of Shannon. Patient financial and insurance information is collected and reevaluated quarterly.

The doctor or patient can call to request an application.      

The doctor must fill out a section and sign the application. The patient must also complete, sign the application and attach proof of income.

Not applicable.

866-474-8326

724-778-3980

Patient has insurance coverage BUT the only source of insurance coverage is a policy with a lifetime cap on benefits and the patient is within $300,000 of reaching that lifetime cap. The insurer must provide at statement attesting to this. Has a household income below $25,000. The medication must be used for a FDA-approved diagnosis. Patient must reside in the US, be under the direct care of a licensed US physician and receive health care services via the US health care system. The patient may also call 1-877-242-2738. Eligibility terminates if the patient obtains new insurance. Patient household income and insurance status is re-evaluated quarterly.

The doctor or patient can call to request an application.      

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

Not applicable.

724-778-3980

Those with federal health care (Medicare, Medicaid, Tricare) are not eligible. Patients may qualify if they have insurance that will not cover Remodulin. Patients must meet ONE of the following criteria: 1)not employed and not enough financial resources to pay for treatment 2)Income is not more than 300% FPG and patient has documented proof that they don't have insurance coverage 3)A written denial from a state Medicaid program The medication must be used for a FDA-approved diagnosis. Patient must reside in the US, be under the direct care of a licensed US physician and receive health care services via the US health care system. When calling 724-778-3980, ask for Shannon or Heather. This program is available through 3 distributors,patients may also call 1-866-474-8326.

The doctor or patient can call to request an application.      

The doctor must fill out a section and sign the application. The patient must also complete, sign the application and attach proof of income.

Not applicable.