Duzallo Patient Assistance Programs

Duzallo: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Duzallo. 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?

Ironwood Patient Assistance Program

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

Provided by: Ironwood Pharmaceuticals, Inc.
c/o Cardinal Health Specialty Solutions 2730 S Edmonds Lane Suite 300 Lewisvile, TX 75067
TEL: 833-557-2413
FAX: 844-373-8785
Languages Spoken:
English Others By Translation Service
Program Website
  • Duzallo (allopurinol/lesinurad)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage for needed medication
  • Those with Part D Elibible? Determined case by case
  • Income At or below 300% of FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal resident.
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe 2-4 business days
  • Amount/Supply Up to 30 Qty
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Within a week
  • Refill Proces Patient must contact company
  • Limit None
  • Re-application Must re-enroll at end of calendar year
Additional Information
Updated September 11, 2018

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

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