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Patient Assistance Information

 
 
 
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