Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 1 of 2.
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OneSource Treatment Support (Strensiq)

Provided by: Alexion Pharmaceuticals, Inc.


TEL: 888-765-4747


FAX: 800-420-5150
Languages Spoken:

English

Program Website

 

Program Applications and Forms

OneSource Enrollment and Authorization Form (Strensiq)

OneSource Treatment Support Brochure (Strensiq)

 

Medications

  • asfotase alfa injection (Strensiq) Injection
 

Eligibility Requirements   

Insurance Status Must have insurance
Those with Part D Eligible? No
Income Not Required
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Yes
   

Application

Obtaining Call
Receiving Not applicable
Returning Not applicable
Doctor's Action Give prescription to patient
Applicant's Action Call
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Not specified
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information

This program also provides copay assistance.

Insurance benefits, claims assistance, or other reimbursement help is offered.

Patient enrolls to receive a free sharps container.


Updated October 11, 2017


Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 2 of 2.
 

Alexion Access Foundation

For Healthcare Professionals Only

Provided by: Alexion Pharmaceuticals, Inc.



TEL: 888-765-4747


Languages Spoken:

English

Program Website

 

Program Applications and Forms

Alexion Access Foundation: Contact program

 

Medications

  • asfotase alfa injection (Strensiq)
 

Eligibility Requirements   

Insurance Status Must be uninsured
Those with Part D Eligible? Not specified
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Not specified
   

Application

Obtaining Applicant must call for prescreening
Receiving Not specified
Returning Not specified
Doctor's Action Doctor/Doctor's office must call
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Not specified
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information

Resources for HEALTHCARE PROFESSIONALS ONLY.


Updated October 10, 2017