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The document outlines the application process for the Sunovion Support Prescription Assistance Program, which helps patients afford their Sunovion prescriptions. It includes instructions for submitting an application, required patient and household income information, healthcare professional details, prescription specifics for Latuda, and important safety information regarding the medication. The document emphasizes the need for signatures from both the patient and their healthcare provider to process the application.

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What is the Equetro patient Assistance Program?

The Equetro Patient Assistance Program provides Equetro at no charge to eligible patients. To qualify, a patient must be a resident of the United States and meet certain financial requirements. Once approved, patients will receive a 3-month supply of Equetro (delivered to their healthcare providers office).

What is azme prescription savings program for people with Medicare Part D?

The AZMe Prescription Savings Program is designed to help eligible patients that meet the Federal Poverty Level, and are without insurance, or those with Medicare gain access to select AstraZeneca medications.

What is the income limit for AZ and ME patient assistance?

You may be eligible if you meet the following criteria: 1. You have an annual household income* at or below: $35,000 for a single person $48,000 for a family of two $60,000 for a family of three $70,000 for a family of four $80,000 for a family of five * Income limits may be higher in Alaska and Hawaii.

Who funds patient assistance programs?

Pharmaceutical manufacturers may sponsor patient assistance programs (PAPs) that provide financial assistance or drug free product (through in-kind product donations) to low income individuals to augment any existing prescription drug coverage.

What are the income guidelines for AZME patient assistance?

Eligibility Requirements 2024 Program Income Requirement For Specialty and Primary Medications Annual adjusted gross income must be at or below 300% of the Federal Poverty Level (FPL) For Rare Disease Medications (WAINUA) Annual adjusted gross income must be at or below 500% of the Federal Poverty Level (FPL)1 more row

latuda patient assistance application pdf

Aptiom patient assistance program Latuda manufacturer GoodRx

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What are the income limits for dupixent patient assistance?

Those who may qualify must be at least 18 years of age or older, a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less.

Who is eligible for the patient assistance program?

Eligibility and enrollment Be a US citizen or legal resident. Have a total household income at or below 400% of the federal poverty level. Must be uninsured, or have Medicare. Note: if you have private or commercial insurance, you are not eligible for the PAP.

What is the prescription assistance program for sunovion?

Its hard to know what to do if you cant afford your medication. Thats why Sunovion Pharmaceuticals Inc. created Sunovion Support. A program that provides up to six prescriptions/fills of Latuda (lurasidone HCI) tablets at no cost to people who qualify.

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