Stimate Patient Assistance Programs

Stimate: Apply for prescription assistance below

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

CSL Behring Care Coordination Center

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

Provided by: CSL Behring
PO Box 368 Lewisville, TX 75067
TEL: 800-676-4266
Languages Spoken:
English
Program Website
Medications
  • Stimate spray; nasal (desmopressin acetate spray; nasal)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal resident.
Application
  • Obtaining Call. *See Additional Information section below
  • Receiving Faxed or mailed
  • Returning The completed application must be faxed back.
  • Doctor's Action Will be discussed with patient and Doctor after request is received
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Decision made during phone screening
  • 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
Since drug availability changes based on inventory, call to make sure requested drug is available. This program lists medications that may be covered under a different CSL Behring savings program: Contact Program for more details *877-355-4447: Carimune, Hizentra & Privigen *866-936-2472: Zemaira The Berinert Copay BEnefit covers up to $12,000 in eligible out-of-pocket expenses per year. Patient must be diagnosed with HAE (Hereditary Angleodema) Assurance Program: Once enrolled in the Program, Patient will begin earning an Award Certificate for every 3 consecutive months of therapy use. Each Certificate is worth a 1-month supply of therapy (up to the maximum amount redeemable) and can be redeemed in the event of a lapse in insurance.
Updated August 1, 2018

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

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Patient Access Network Foundation (PAN)

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

Provided by: Patient Access Network Foundation
None
TEL: 866-316-7263
FAX: 866-316-7261
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Stimate (desmopressin acetate)
Eligibility Requirements
  • Insurance Status *See Additional Information section below
  • Those with Part D Elibible? Determined case by case
  • Income Between 400-500% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? Must reside and receive treatment in US
Application
  • Obtaining Call or complete online
  • Receiving Complete online or by phone
  • Returning Complete online or by phone
  • Doctor's Action Will be discussed with patient and Doctor after request is received
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Patient and Doctor notified in writing
  • Decision Timeframe Within 48 hours
Medication
  • Amount/Supply Not applicable
  • Sent To Patient sent card to be used at pharmacy
  • Delivery Time Once approved; shipped same day
  • Refill Proces Patient presents voucher/card to pharmacy for each refill
  • Limit None
  • Re-application New application every 12 months
Additional Information
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Updated July 10, 2018

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

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