Varizig Patient Assistance Programs

Varizig: Apply for prescription assistance below

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

HyperImmune Patient Assistance Program

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

Provided by: Saol Therapeutics
PO Box 219 Gloucester, MA 01931
TEL: 844-361-2406
FAX: 888-246-6527
Languages Spoken:
English Spanish
Program Website
Medications
  • Varizig (immune globulin; human varicella zoster)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Contact program for details.
  • Income At or below 200% of FPL
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
Application
  • Obtaining Call or download
  • Receiving Faxed, emailed, mailed or downloaded
  • Returning Email, fax or mail (Note: faxed prescriptions are only valid if faxed directly from a prescriber's office)
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and/or Doctor are notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Up to 1 month supply
  • Sent To Patient's home, unless otherwise noted
  • Delivery Time Within 2 business days
  • Refill Proces Patient or Doctor must contact company
  • Limit Varies per medication
  • Re-application New enrollment every 6 months
Additional Information
None
Updated July 16, 2018

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