Zulresso Prescription Assistance Programs

Zulresso: Apply for prescription assistance below

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

Sage Central Patient Support

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

Provided by: Sage Therapeutics, Inc.
7751 Brier Creek Parkway Suite 200 Raleigh, NC 27617
TEL: 844-472-4379
FAX: 833-564-7243
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Zulresso (brexanolone)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Not specified
  • Income Varies
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider and use a US pharmacy
Application
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Enroll in program, complete form and obtain patient consent
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not specified
  • Sent To Doctor's office or infusion site
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
ZULRESSO REMS Overview: *Only administer ZULRESSO to patients in a medically supervised setting that provides monitoring during administration. *Only certified Pharmacies and Healthcare Settings can dispense ZULRESSO.
Updated July 8, 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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