Braftovi and mektovi Prescription Assistance Programs

Braftovi and mektovi: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Braftovi and Mektovi. 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 PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Array Acts Patient Assistance Program

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

Provided by: Array Biopharma, Inc.
2250 Perimeter Park Drive Suite 300 Morrisville, NC 27560
TEL: 866-277-2927
FAX: 877-299-9226
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Braftovi and Mektovi (encorafenib and binimetnib)
Eligibility Requirements
  • Insurance Status Uninsured or Underinsured
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Doctor notified
  • Decision Timeframe 3-5 business days
Medication
  • Amount/Supply Varies
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Varies
  • Refill Proces Pharmacy contacts patient
  • Limit 6 months
  • Re-application Varies
Additional Information
This program also provides copay assistance.
Updated June 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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