Evzio Patient Assistance Programs

Evzio: Apply for prescription assistance below

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

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Kaleo Cares Patient Assistance Program (Evzio)

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

Provided by: Kaleo, Inc.
None
TEL: 844-693-8946, opt. 1
ALT PHONE: 844-693-8946, opt. 1
FAX: 800-943-1730
Languages Spoken:
English
Program Website
Medications
  • Evzio injectable; subcutaneous (naloxone injectable; subcutaneous)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No, must be ineligible
  • Income At or below 100% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be a US resident or legal alien.
Application
  • Obtaining Doctor/Doctor's office must call or download
  • Receiving Faxed or 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, sign, attach required documents
  • Decision Communicated Patient notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Patient's home
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
Resources for HEALTHCARE PROFESSIONALS ONLY. This program also has a Savings Card.
Updated September 14, 2018

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

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