Gilenya™ Support Program
North Dakota
Contact Information
1-(877) 408-4974 (phone)
1-(877) 408-4974 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
- Click here to visit the program's web site.
- Gilenya™
Eligibility:
The Gilenya™ Support Program provides assistance to patients experiencing financial hardship who have no third-party insurance coverage for their medicines. Patients must be a U.S. Resident. Patients must not have prescription drug coverage (public or private). Patients must meet income eligibility criteria. Income eligibility varies by household size and product.
The Gilenya™ Support Program provides assistance to patients experiencing financial hardship who have no third-party insurance coverage for their medicines. Patients must be a U.S. Resident. Patients must not have prescription drug coverage (public or private). Patients must meet income eligibility criteria. Income eligibility varies by household size and product.
Other Information:
Patient applications are evaluated on a casae-by-case basis.
Patient applications are evaluated on a casae-by-case basis.
Product(s) covered by program:
