Financial Assistance Options May Be Available to Help Your Patients
Explore the available ELZONRIS Access Programs and our specialty distributor partners.
ELZONRIS Access Programs Offer Financial Support for Eligible Patients With a Variety of Assistance Programs
Once enrollment in the Stemline ARC® program and the benefits verification process is completed, the assigned Stemline ARC Patient Advocate will let your patient know what financial support programs are available to them based on their eligibility. The programs include:
ELZONRIS Co-pay Card Program*
Eligible patients may pay as little as $0 per month for their supply of ELZONRIS.
Eligible, uninsured, or functionally uninsured patients may be able to access their medication at no cost.
Independent Third-Party Foundations‡
Eligible patients may also receive assistance through independent third-party foundations.
Please review the Terms and Conditions for the ELZONRIS Co-pay Card Program for more information.
*Patients must meet eligibility criteria. In order to be eligible for the ELZONRIS Co-pay Card Program, the patient must not have government-funded health insurance (eg, Medicare, Medicaid, TRICARE, or any other federal or state program), must be taking ELZONRIS injection for IV use for an FDA-approved indication, and must confirm that they meet all of the eligibility criteria and agree to the rules set forth in the terms and conditions for the program. Patients and healthcare providers are responsible for completing and submitting enrollment forms and coverage or reimbursement documentation. Stemline Therapeutics, Inc. makes no representation or guarantee concerning coverage or reimbursement of any service or item.
†To be eligible for this program, insured patients must have exhausted all other forms of patient assistance and meet financial criteria. Insured and uninsured patients must also meet certain eligibility criteria.
‡Stemline Therapeutics, Inc. does not influence or control the operations or eligibility criteria of any independent charitable assistance foundation and cannot guarantee assistance after information has been provided by Stemline ARC. The information is provided as a resource to patients. The foundations that we discuss with patients are not exhaustive or indicative of an endorsement or financial support of Stemline Therapeutics, Inc. There may be other foundations to support the patient’s disease state.
ELZONRIS Is Available Through Specialty Distributors*
ELZONRIS can be obtained from one of the following specialty distributors:
*Stemline Therapeutics, Inc. does not influence or advocate for the use of any one distributor and makes no representation or guarantee of services or coverage of any product.
Questions?
Connect with a Stemline ARC Patient Advocate at 1-833-4-STEMLINE (1-833-478-3654), 9:00 AM to 6:00 PM ET,
Monday through Friday, to learn more.
