Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
2 Programs Sponsored By Genzyme Charitable Foundation, Inc. (External Link)
 
 
Charitable Access Program (CAP)

500 Kendall St.
Cambridge, MA 02142
Phone : 800-745-4447 Ext OPT 0, EXT 16634
Fax: 617-768-9626
Eligibility
> 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
> 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.
Required
> 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.
Supply
> Amount/supply varies. Refills are determined on a case by case basis. Refill limit not specified. Re-application process not specified.
Ship To
> Ship to Doctor's office or specific site.
Note
> 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.
 
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.
 
Aldurazyme vial
Cerezyme injection
Fabrazyme vial
Lumizyme powder; iv
Myozyme injectable; iv
 
 
 
ThyrogenONE Reimbursement Support

Genzyme Corporation
500 Kendall St.
Cambridge, MA 02142
Phone : (888)497-6436
Fax: (888)326-1002
Eligibility
> Insurance requirements for this program are not specified, this includes Medicare PartD. Income requirements are not specified. US residency not required.
Who Can Apply
> 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.
Required
> Medically appropriate condition/diagnosis required. Doctor must complete section and sign. Patient must complete section, sign, attach insurance information.
Supply
> Amount/supply not specified. Refill process and limit not specified. Re-application process not specified.
Ship To
> Not specified.
Note
> Resources for HEALTHCARE PROFESSIONAL ONLY. This program also provides copay assistance.
 
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.
 
Thyrogen injection
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form ThyrogenONE Reimbursement Support
(Requires Acrobat Reader