Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
5 Programs Sponsored By Shire Pharmaceuticals (External Link)
 
 
Shire Cares

Shire Cares Patient Assistance & Support Program
PO Box 5666
Louisville, KY 40255
Phone : 888-227-3755
Fax: 877-922-7379
Eligibility
> 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
> Patients or healthcare providers can call to have an application faxed, mailed or it can be downloaded.
Required
> 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.
Supply
> Not specified
Ship To
> Patient is sent a card to be used at the pharmacy.
Note
> Each Application will be considered on a case by case basis.
 
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.
 
Carbatrol capsule
Fosrenol
Intuniv Extended Release Tablets
Lialda
Pentam 300 (pentamidine isethionate)
Pentasa capsule; extended release
Vyvanse Capsules
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form
Download printable Form
(Requires Acrobat Reader
 
 
OnePath Patient Assistance Program


,
Phone : 866-888-0660
Fax:
Eligibility
> 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
> Patients must call for a prescreening and an application will be faxed or mailed.
Required
> Patients and doctors must each complete a section of the application and sign. It can then be returned by mail.
Supply
> 1 dose
Ship To
> Doctor's office or infusion site
Note
> 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.
 
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
Gattex
Natpara injection
VPRIV injectable; iv (infusion)
 
 
 
OnePath Co-Pay Assistance Program


,
Phone : 866-888-0660
Fax:
Eligibility
> 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
> Patients must call for a prescreening.
Required
> Not applicable
Supply
> Not applicable
Ship To
> Not applicable
Note
> Program requires a confirmed diagnosis of type 1 Gaucher disease, Hunter syndrome or HAE. Copay Assistance only for Shire HGT medications only.
 
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)
 
 
 
Dermagraft Support Program (Shire RM Cares)


,
Phone : 800-444-7125
Fax: 877-337-6247
Eligibility
> 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
> Doctor or Doctor's office must call.
Required
> Patient must inform the doctor that he/she is in need. The doctor must determine if the patient is really in need.
Supply
> Not specified
Ship To
> Not specified
Note
> Resources for HEALTHCARE PROFESSIONAL ONLY.
 
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.
 
Dermagraft dermal substitute
 
 
 
OnePath Sharps Recovery System for Firazyr


,
Phone : 866-888-0660
Fax:
Eligibility
> Patients must meet income requirements that have not been disclosed, meet insurance requirements that have not been specified, have a medically appropriate condition/diagnosis and be a US resident.
Who Can Apply
> Patients must call to apply.
Required
> Not specified
Supply
> 1 Container
Ship To
> Patient's home
Note
>
 
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.
 
container for firazyr sharps disposal container