Nityr Patient Assistance Programs

Nityr: Apply for prescription assistance below

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

Nityr Patient Support Program

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

Provided by: Cycle Pharmaceuticals
c/o Diplomat Specialty Pharmacy
TEL: 800-847-8714
FAX: 800-842-5163
Languages Spoken:
English
Program Website
Medications
  • Nityr (nitisinone)
Eligibility Requirements
  • Insurance Status Not specified
  • Those with Part D Elibible? Not specified
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? US residency requirements are not specified.
Application
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Patient and/or Doctor are notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Contact the program for more details.
  • Sent To Varies
  • Delivery Time Varies
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
None
Updated September 13, 2018

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