Xermelo Patient Assistance Programs

Xermelo: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Xermelo. 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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(Program 1 of 1 — Scroll down to see them all )

Provided by: Lexicon Pharmaceuticals, Inc.
TEL: 844-937-6356
ALT PHONE: 844-937-6356
Languages Spoken:
Program Website
  • Xermelo (telotristat ethyl)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? US residency requirements are not specified.
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient notified
  • Decision Timeframe Within 1-2 business days
  • Amount/Supply Varies
  • Sent To Patient's home
  • Delivery Time Not specified
  • Refill Proces Company contacts patient to arrange
  • Limit Not specified
  • Re-application Not specified
Additional Information
Updated November 12, 2018

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