Thiola Prescription Assistance Programs

Thiola: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Thiola. 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 or go to the program website.

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Thiola Total Care Hub Program

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

Provided by: Retrophin, Inc.
TEL: 844-484-4652
FAX: 877-473-3167
Languages Spoken:
English, Others By Translation Service
Program Website
  • Thiola EC tablet; delayed release (tiopronin tablet; delayed release)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Not disclosed
  • Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
  • Obtaining Download from website
  • Receiving Not specified
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient notified by phone
  • Decision Timeframe Not specified
  • Amount/Supply Varies
  • Sent To Doctor's office or patient's home
  • Delivery Time Not specified
  • Refill Proces Determined on a case by case basis
  • Limit Not specified
  • Re-application Not specified
Additional Information
Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients. Contact program for more details: or
Updated December 2, 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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