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

Catalyst Pathways

This program provides brand name medications at no or low cost

Provided by: Catalyst Pharmaceuticals, Inc.


TEL: 833-422-8259


FAX: 833-422-8260 		Languages Spoken:

English, Spanish, Others By Translation Service

Program Website

 

Program Applications and Forms

Catalyst Pathways Enrollment Form

Catalyst Pathways Enrollment Form Instructions
 

Medications
  • amifampridine tablet (Firdapse) Tablet
 

Eligibility Requirements   
Insurance Status Determined case by case
Those with Part D Eligible? Determined case by case
Income Based on FPL
Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
US Residency Required? Must be residing in the US or Puerto Rico
   

Application
Obtaining Call or download
Receiving Faxed or downloaded from website
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section and sign
Decision Communicated Patient and Doctor are notified
Decision Timeframe Within 72 hours
   

Medication
Amount/Supply Up to 1 month supply
Sent To Patient's home, unless otherwise noted
Delivery Time Varies
Refill Process Contact program for details.
Limit Varies
Re-application Must re-enroll at end of calendar year
   

Additional Information
Co-payment assistance, and patient assistance programs are available for eligible patients.
Updated April 17, 2023