Ani Rare Disease Patient Assistance Program Inc

How to apply

This foundation reports that it accepts applications.

PATIENTS WILL BE REQUIRED TO SUBMIT AN APPROPRIATE APPLICATION TO THE FOUNDATION TO DETERMINE THE PATIENT'S ELIGIBILITY TO PARTICIPATE IN THE PROGRAM. THE PROGRAM WILL COLLECT APPROPRIATE DOCUMENTATION FROM EACH PATIENT APPLICANT SUFFICIENT TO ESTABLISH THAT PATIENT'S SATISFACTION OF THE LIMITED, TAILORED ELIGIBILITY STANDARDS DISCUSSED ABOVE AND AS IMPLEMENTED BY THE FOUNDATION'S BOARD OF DIRECTORS FROM TIME TO TIME. Application is available at the following: https://www.cortrophin.com/pdfs/purified-cortrophin-gel-patient-assist ance-application.pdf

Deadlines: Program eligibility will be determined on an annual basis and patients who wish to re-enroll in the

Restrictions: The organization plans to distribute a pharmaceutical product donated by ANI Pharmaceuticals, Inc. from its Rare Disease portfolio to eligible patients suffering from covered rare diseases.Patients must permanently reside in the U.S. or a U.S. territory, have a valid prescription for an FDA-approved use of the product, and must either lack health insurance coverage for the product or, to the extent the patient has health insurance, demonstrate that the relevant plan does not adequately cover the costs of the product, based on standards established by the organization's board of directors. Applicants must submit an annual application to demonstrate they meet the applicable eligibility criteria

Check the foundation's own materials before applying; details may have changed.