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

Arikares Support Program

This program provides patient support assistance

Provided by: Insmed Incorporated

Attn: Arikares
700 US Highway 202/206
Bridgewater, NJ 08807

TEL: 833-274-5273


ALT PHONE: 973-437-2376
FAX: 800-604-6027
Languages Spoken:

English, Spanish, Others By Translation Service

Program Website

 

Program Applications and Forms

Arikares Support Program Enrollment Form and Prescription

 

Medications

  • amikacin liposome suspension; inhalation (Arikayce) Suspension; Inhalation
 

Eligibility Requirements   

Insurance Status Must have insurance
Those with Part D Eligible? Yes
Income Varies
Diagnosis/Medical Criteria Must be 18 yr old or older
US Residency Required? Must live in one of the 50 states, the District of Columbia, or Puerto Rico* and utilize the US healthcare system
   

Application

Obtaining Call or download
Receiving Downloaded from website
Returning Email or fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section and sign
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply 28 day supply
Sent To Patient's home, unless otherwise noted
Delivery Time Varies
Refill Process Pharmacy contacts patient
Limit Varies
Re-application Varies
   

Additional Information

This program provides copay assistance.
Education and support services are available; Contact program for details.

Updated September 15, 2020