Exondys 51 Prescription Assistance Programs

Exondys 51: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Exondys 51. 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?

SareptAssist

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

Provided by: Sarepta Therapeutics, Inc.
215 First Street Cambridge, MA 02142
TEL: 888-727-3782
FAX: 800-621-5203
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Exondys 51 (eteplirsen)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be residing in the US or a US territory, and under the care of a US physician
Application
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section and sign
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Contact the program for more details.
  • Sent To Doctor's office or infusion site
  • Delivery Time Contact Program for Details
  • Refill Proces Contact program for details.
  • Limit Contact the program for details
  • Re-application Contact program for details.
Additional Information
This program also provides copay assistance.
Updated March 26, 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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