Jynarque Patient Assistance Programs

Jynarque: Apply for prescription assistance below

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

Otsuka Patient Assistance Foundation (OPAF) Patient Assistance Program

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

Provided by: Otsuka Patient Assistance Foundation, Inc.
Otsuka Patient Assistance Foundation, Inc. PO Box 220248 Charlotte, NC 28222-0248
TEL: 855-727-6274
FAX: 844-727-6274
Languages Spoken:
English
Program Website
Medications
  • Jynarque (tolvaptan)
Eligibility Requirements
  • Insurance Status *Contact program for details.
  • Those with Part D Elibible? Varies
  • Income Varies
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must also be residing in the US.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application can be faxed, mailed 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 Not specified
Medication
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Varies
  • Re-application Varies
Additional Information
None
Updated August 2, 2018

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

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