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Shire Cares
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Shire Cares Patient Assistance & Support Program
PO Box 5666
Louisville, KY 40255
Phone
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888-227-3755
Fax:
877-922-7379
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Eligibility
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Patients insurance status will be considered on a case by case basis. Medicare Part D recipients are eligible. Patients must be at or below 300% of the Federal Poverty Level, must have an FDA-approved diagnosis and must be a US citizen or legal entrant. |
| Who Can Apply
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Patients or healthcare providers can call to have an application faxed, mailed or it can be downloaded. |
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Required
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Doctors must complete a section of the application and sign. Patients must complete a section, sign, attach proof of income and attach any insurance information. |
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Supply
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Not specified |
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Ship To
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Patient is sent a card to be used at the pharmacy. |
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Note
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Each Application will be considered on a case by case basis. |
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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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| Carbatrol capsule |
| Fosrenol |
| Intuniv Extended Release Tablets |
| Lialda |
| Pentam 300 (pentamidine isethionate) |
| Pentasa capsule; extended release |
| Vyvanse Capsules |
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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 |
| Download printable Form |
(Requires Acrobat Reader) 
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OnePath Patient Assistance Program
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Phone
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866-888-0660
Fax:
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Eligibility
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Patients must be uninsured or underinsured with no prescription coverage for the needed medication. Patients with Medicare Part D are not eligible. Income requirements for this program have not been disclosed. Patients must have a medically appropriate diagnosis/condition and must reside in the US. |
| Who Can Apply
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Patients must call for a prescreening and an application will be faxed or mailed. |
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Required
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Patients and doctors must each complete a section of the application and sign. It can then be returned by mail. |
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Supply
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1 dose |
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Ship To
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Doctor's office or infusion site |
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Note
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Program requires a confirmed diagnosis of type 1 Gaucher disease, Hunter syndrome or HAE. Program only covers Shire HGT medications.
Sharps Recovery System: Contact program for more detail. |
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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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| Cinryze injection |
| Elaprase injectable; iv (infusion) |
| Firazyr injection |
| Gattex |
| Natpara injection |
| VPRIV injectable; iv (infusion) |
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OnePath Co-Pay Assistance Program
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Phone
:
866-888-0660
Fax:
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Eligibility
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Patient may not have public insurance but may have private insurance. There are no income limits for this program. Patients must have a medically appropriate diagnosis/condition and must reside in the US. |
| Who Can Apply
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Patients must call for a prescreening. |
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Required
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Not applicable |
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Supply
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Not applicable |
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Ship To
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Not applicable |
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Note
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Program requires a confirmed diagnosis of type 1 Gaucher disease, Hunter syndrome or HAE. Copay Assistance only for Shire HGT medications only. |
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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.
|
| Cinryze injection |
| Elaprase injectable; iv (infusion) |
| Firazyr injection |
| VPRIV injectable; iv (infusion) |
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Dermagraft Support Program (Shire RM Cares)
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Phone
:
800-444-7125
Fax:
877-337-6247
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Eligibility
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Patients must be uninsured or unable to afford treatment. Income requirements for this program have not been disclosed. Patients must have a medically appropriate condition/diagnosis, must be treated by a US doctor and be a US resident. |
| Who Can Apply
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Doctor or Doctor's office must call. |
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Required
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Patient must inform the doctor that he/she is in need. The doctor must determine if the patient is really in need. |
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Supply
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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. |
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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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| Dermagraft dermal substitute |
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