Trulance Patient Assistance Programs

Trulance: Apply for prescription assistance below

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

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Trulance Access Services

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

Provided by: Synergy Pharmaceuticals Inc.
None
TEL: 844-796-3757
ALT PHONE: 844-796-3757
FAX: 844-627-3827
Languages Spoken:
English
Program Website
Medications
  • Trulance (plecanatide)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must be a US citizen or legal entrant.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • 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 Up to 30 day supply
  • Sent To Not specified
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Must re-enroll at end of calendar year
Additional Information
The Trulance Service Request Form (SRF) must be submitted prior to submitting the Patient Assistance Program (PAP) Application for Trulance. This program also provides copay assistance.
Updated May 23, 2018

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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