Zomig Prescription Assistance Programs

Zomig: Apply for prescription assistance below

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

Amneal Patient Assistance Program

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

Provided by: Amneal Pharmaceuticals LLC.
PO Box 220586 Charlotte, NC 28222
TEL: 877-764-9021
FAX: 877-764-9022
Languages Spoken:
English, Others By Translation Service
Program Website
  • Zomig (zolmitriptan)
Eligibility Requirements
  • Insurance Status Must be uninsured or underinsured
  • Those with Part D Elibible? Yes, but contact program for details
  • Income Based on FPL
  • Diagnosis/Medical Criteria Not disclosed
  • U.S. Residency Required? The patient must reside in the US, Puerto Rico or the USVI.
  • Obtaining Call or download
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section and sign
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
  • Amount/Supply Contact the program for more details.
  • Sent To Patient's home
  • Delivery Time Contact Program for Details
  • Refill Proces Contact program for details.
  • Limit One year
  • Re-application Company contacts patient about reapplying
Additional Information
Updated June 18, 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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