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.

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Zulresso REMS

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

Provided by: Sage Therapeutics, Inc.
TEL: 844-472-4379
FAX: 833-564-7243
Languages Spoken:
Program Website
  • Zulresso (brexanolone)
Eligibility Requirements
  • Insurance Status Not applicable
  • Those with Part D Elibible? Not applicable
  • Income Not applicable
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Only valid for doses administered in the US
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Enroll in the program
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Not applicable
  • Decision Timeframe Not applicable
  • Amount/Supply Not applicable
  • Sent To Not applicable
  • Delivery Time Not applicable
  • Refill Proces Not applicable
  • Limit Not specified
  • Re-application Not specified
Additional Information
Resources for HEALTHCARE PROFESSIONALS ONLY. 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 April 12, 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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