Firdapse Prescription Assistance Programs

Firdapse: Apply for prescription assistance below

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

Catalyst Pathways

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

Provided by: Catalyst Pharmaceuticals, Inc.
c/o AnovoRx Manufacturer Services, LLC 1710 N. Shelby Oaks Drive #3 Memphis, TN 38134
TEL: 833-422-8259
FAX: 833-422-8260
Languages Spoken:
English
Program Website
Medications
  • Firdapse (amifampridine)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Based on FPL
  • Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
  • U.S. Residency Required? The patient must also be a US citizen.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section and sign
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Within 72 hours
Medication
  • Amount/Supply Up to 1 month supply
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Varies
  • Refill Proces Pharmacy contacts patient
  • Limit Varies
  • Re-application Must re-enroll at end of calendar year
Additional Information
This program also provides co-pay and reimbursement assistance.
Updated May 16, 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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