Arikayce kit Prescription Assistance Programs

Arikayce kit: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Arikayce Kit. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not or go to the program website.

Looking for a different medication?

Arikares Support Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: Insmed Incorporated
10 Finderne Ave Bldg. 10 Bridgewater, NJ 08807
TEL: 833-274-5273
ALT PHONE: 833-274-5273
FAX: 800-604-6027
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
  • Arikayce Kit (amikacin liposome)
Eligibility Requirements
  • Insurance Status Must have insurance
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria Must be 18 yr old or older
  • U.S. Residency Required? The patient must live in one of the 50 states, the District of Columbia, or Puerto Rico* and utilize the US healthcare system
  • 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
  • Amount/Supply 28 day supply
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Varies
  • Refill Proces Pharmacy contacts patient
  • Limit Varies
  • Re-application Varies
Additional Information
This program provides copay assistance.
Updated October 28, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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