Haegarda Patient Assistance Programs

Haegarda: Apply for prescription assistance below

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

Haegarda Connect

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

Provided by: CSL Behring
PO Box 368 Lewisville, TX 75067
TEL: 844-423-4273
FAX: 866-415-2162
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Haegarda (C1 esterase inhibitor (human))
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
  • U.S. Residency Required? US residency requirements are not specified.
Application
  • Obtaining Doctor/Doctor's office must call, download or apply online
  • Receiving Complete online, download from website or faxed.
  • Returning The completed application can be faxed back or submitted online
  • 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
Medication
  • Amount/Supply Varies
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Not specified
  • Refill Proces Pharmacy contacts patient
  • Limit Varies
  • Re-application New prescription required
Additional Information
This program also provides copay assistance.
Updated October 16, 2018

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