Registered Users Log-in:

E-mail Address:


Forgot Password?
Patient Assistance Information

Zyflo Connect Co-Pay Program

Phone : 844-699-9356
> This program is intended for patients that are uninsured or are underinsured. Medicare Part D patients are not eligible for this program. Patients must be a US resident or resident of Puerto Rico. Income requirements for this program have not been disclosed.
Who Can Apply
> Patient must call to enroll once Doctor gives them the prescription. No online application available.
> 30 day supply. Refill limit, refill process and re-application not specified.
Ship To
> Medication will be sent to Patient's home.
> Out-of-pocket benefit equals an amount up to $2,500 per month with a maximum benefit of $30,000 per year. If a patient exceeds the maximum monthly benefit of $2,500, the patient will be responsible for the outstanding balance. This program expires December 31, 2016
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.
Zyflo CR tablet; extended release