For eligible patients
A streamlined Patient Assistance Program is also available for uninsured, underinsured, Medicare, Medicaid, and indigent patients.
Patients can receive free, 24-48 hour home delivery of product when healthcare professionals order directly from a specialty pharmacy within the Fortovia Direct Rx network.
Important information for patients:
*Terms and Conditions: Certain patients in Federal programs may not qualify. Qualified patients will pay $0 per ZUPLENZ prescription. After a maximum reimbursement allowance, any remaining costs will be the responsibility of the patient. Co-pay assistance is not valid for prescriptions reimbursed, in whole or in part, under Medicaid, Medicare, including Medicare Advantage and Part D prescription drug plans, or any other federal or state program (including state pharmaceutical assistance programs) or where prohibited, taxed, or otherwise restricted. Fortovia Therapeutics Inc. reserves the right to rescind, revoke, or amend this offer without notice. Patients understand and agree to comply with the terms and conditions of this offer as set forth here.
You are encouraged to report negative side effects of prescription medical products to the FDA.
Visit www.fda.gov/safety/medwatch, or call Fortovia at 1-855-273-0468.
You are encouraged to report negative side effects of prescription medical products to the FDA.
Visit www.fda.gov/safety/medwatch, or call Fortovia at 1-855-273-0468.