Acthar Gel Patient Assistance Program

National Non-Profits

Contact Information
PO Box 1968
New Fairfield, CT 06812-1968
1-(800) 459-7599 (phone)
Eligibility is based on income and lack of prescription coverage. Each application is reviewed individually to determine eligibility. Estimated time of response is 2 to 4 weeks. The patient is given assistance up from 25%-100% for one year.
Other Information:
Anyone can call to start the process an application can be mailed to patient, doctor or social worker. The completed application can be faxed back to NORD.
Product(s) covered by program:
  • Acthar® Gel