Ingrezza Patient Assistance Programs

Ingrezza: Apply for prescription assistance below

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

Inbrace Support Program

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

Provided by: Neurocrine Biosciences, Inc.
1330 Enclave Parkway Suite 125 Houston, TX 77077
TEL: 844-647-3992
FAX: 844-394-7155
Languages Spoken:
English
Program Website
Medications
  • Ingrezza (valbenazine)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must reside in the US, Guam, Puerto Rico or US Virgin Islands
Application
  • Obtaining Doctor/Doctor's office must call or download
  • Receiving Faxed to Doctor's office
  • 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 Patient and Doctor are notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office or patient's home
  • Delivery Time 1-2 business days
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application New application every 12 months
Additional Information
Resources for HEALTHCARE PROFESSIONALS ONLY. **Physicians apply for this program on behalf of their patients.
Updated September 17, 2018

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

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