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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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| Cerezyme injection |
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Genzyme Co-Pay Assistance Program
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Genzyme Corporation
500 Kendall St.
Cambridge, MA 02142
Phone
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(800)745-4447
Ext opt.3
Fax:
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Eligibility
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This program is intended for patients with no insurance. Medicare PartD not eligible for this program. Income limit not disclosed. Must be US citizen or legal entrant (Infusion costs are not covered in MA, MI, MN or RI). |
| Who Can Apply
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Call or complete online. Patient must complete online enrollment. Patient and Doctor or Specialty Pharmacy are notified within 7-10 business days. |
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Required
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Medically appropriate condition/diagnosis required. |
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Supply
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Amount/supply not applicable. Refill process not specified. Refill limit up to 1 year. Re-application process varies. |
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Ship To
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Not specified. |
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Note
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This program assists with out-of-pocket drug cost related to treatment with one of Genzyme's enzyme replacement therapies and certain infusion related costs:
Out-of-pocket costs such as drug and infusion related copays, co-insurance and deductibles are eligible for reimbursement.
Please visit a Genzyme product's website to complete the online application or call. |
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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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| Cerezyme injection |
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Patient Access Network Foundation (PAN)
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PO Box 221858
Charlotte, NC 28222
Phone
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(866)316-7263
Fax:
(866)316-7263
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Eligibility
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This is a copay assistance program for patients that have health insurance. The patient's insurance must cover the qualifying medication that they are seeking assistance for. Patient with Medicare Part D will be considered on a case by case basis. Patients must be at or below 400-500% of the federal poverty level, must have a medically appropriate diagnosis/condition and must reside and receive treatment in the US. |
| Who Can Apply
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Patients or healthcare providers can complete the application online or by phone. |
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Required
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Patients must call for information or inform their doctor that they are in need. Doctors action will be discussed with the patient and doctor after the request is received. |
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Supply
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Not applicable |
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Ship To
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Patient sent card to be used at pharmacy |
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Note
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*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Note: All new enrollment is now done electronically or over the phone. Contact program for details. |
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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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| Cerezyme 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 |
(Requires Acrobat Reader) 
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