Onpattro Prescription Assistance Programs

Onpattro: Apply for prescription assistance below

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

Alnylam Assist

(Program 1 of 2 — Scroll down to see them all )

Provided by: Alnylam Pharmaceuticals, Inc.
300 Third Street 3rd Floor Cambridge, MA 02142
TEL: 1-833-256-2748
FAX: 1-833-256-2747
Languages Spoken:
English
Program Website
Medications
  • ONPATTRO (patisiran)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage for needed medication
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must also be a US resident.
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 and sign
  • Applicant's Action Complete section, sign and provide annual income information. Proof of income required
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Amount requested is sent
  • Sent To Doctor's office or specific site
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
This program also provides co-pay assistance for eligible patients. Contact the program for more details.
Updated May 7, 2019

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

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HealthWell Foundation Copay Program

(Program 2 of 2 — Scroll down to see them all )

Provided by: HealthWell Foundation
P.O. Box 489 Buckeystown, MD 21717
TEL: 800-675-8416
FAX: 800-282-7692
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • ONPATTRO (patisiran)
Eligibility Requirements
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria FDA Approved Diagnosis - See Program Website for Details
  • U.S. Residency Required? The patient must also be residing in the US.
Application
  • Obtaining Call or complete online
  • Receiving Sent out or may be completed online
  • Returning The completed application must be mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient notified in writing
  • Decision Timeframe 3-5 business days
Medication
  • Amount/Supply Not applicable
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Good for one year
  • Limit Not specified
  • Re-application New application every 12 months
Additional Information
This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Updated April 29, 2019

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

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