Provides you with access to RELiZORB if the coverage process is anticipated to take longer than expected. Through this program, you may receive bridge product while the insurance coverage process is underway. Once coverage is obtained, you'll be transitioned to a specialty pharmacy provider who will fill your subsequent orders.
If you need a bridge refill, please call RELiZORB Support Services at 1-844-632-9271.
The program is open to individuals who:
If You Qualify, Enrollment in the Program is Automatic
If you are eligible, you will be enrolled in the program when RELiZORB Support Services reviews your commercial insurance benefits. Enrollment in the program is subject to confirmation of eligibility.
How Much Could I Save?
All eligible patients will have no co-pay, co-insurance, or deductibles for their first four 30-count boxes of RELiZORB.
Alcresta Therapeutics will cover a maximum benefit of $6,720 for each calendar year.
There is no out-of-pocket assistance card required — your benefit will be automatically deducted from your bill.
Program Terms and Conditions