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Charitable Access Program (CAP)
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500 Kendall St.
Cambridge, MA 02142
Phone
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800-745-4447
Ext OPT 0, EXT 16634
Fax:
617-768-9626
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Eligibility
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Insurance requirements for this program are not specified, this includes Medicare PartD. Income requirements for this program are not disclosed. US residency not specified. |
| Who Can Apply
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Call for prescreening. Application will be sent to Patient. Return application via mail. Patient and Doctor notified in writing of decision. Applications are reviewed monthly. |
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Required
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FDA-approved diagnosis required. Doctor must write letter of intent to treat and include statement of medical necessity. Patient must complete section, sign, attach a copy of proof of income. |
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Supply
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Amount/supply varies. Refills are determined on a case by case basis. Refill limit not specified. Re-application process not specified. |
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Ship To
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Ship to Doctor's office or specific site. |
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Note
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Qualified individuals with Lysosomal Storage Disorders (Gaucher Disease, Fabry Disease, MPS1 and Pompe Disease) whose physicians have recommended treatment may be eligible for this program. This is considered a temporary funding program. Patients and their families are expected to continue exploring alternative resources with the assistance of a Genzyme case manager. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
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| Aldurazyme vial |
| Cerezyme injection |
| Fabrazyme vial |
| Lumizyme powder; iv |
| Myozyme injectable; iv |
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ThyrogenONE Reimbursement Support
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Genzyme Corporation
500 Kendall St.
Cambridge, MA 02142
Phone
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(888)497-6436
Fax:
(888)326-1002
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Eligibility
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Insurance requirements for this program are not specified, this includes Medicare PartD. Income requirements are not specified. US residency not required. |
| Who Can Apply
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Call for application to be faxed or download from website. Return application via fax. Patient and Doctor or Specialty Pharmacy are notified. Decision timeframe varies. |
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Required
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Medically appropriate condition/diagnosis required. Doctor must complete section and sign. Patient must complete section, sign, attach insurance information. |
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Supply
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Amount/supply not specified. Refill process and limit not specified. Re-application process not specified. |
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Ship To
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Not specified. |
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Note
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Resources for HEALTHCARE PROFESSIONAL ONLY.
This program also provides copay assistance. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
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| Thyrogen injection |
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Printable Application Forms
Applications that patients can fill out and bring to their doctor.
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| Download printable Form ThyrogenONE Reimbursement Support |
(Requires Acrobat Reader) 
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