Thiola Patient 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 PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Thiola Total Care Hub Program

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

Provided by: Retrophin, Inc.
None
TEL: 844-484-4652
FAX: 877-473-3167
Languages Spoken:
English
Program Website
Medications
  • Thiola tablet (tiopronin tablet)
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? US residency requirements are not specified.
Application
  • 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
Medication
  • 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.
Updated September 13, 2018

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

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