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This Patient Assistance Program is designed to provide temporary assistance and access to Salix patients who meet the pre-defined eligibility criteria. Please complete each section of the application form as indicated below.
Get help paying for your Salix medication. Find links to savings cards, prescription assistance, support programs, and more information.
Salix Patient Assistance Program The program provides certain Salix Pharmaceuticals medications no cost to you. This is a temporary assistance program that looks at your financial and medical needs. You will not need to pay any co-pays or enrollment fees to get help from this program.
How do I apply? To apply for this program, print and fill out the application form. Please return the completed application to the program as instructed on the form. Frequently Asked Questions. Am I eligible? You can get help from this program if you have limited income and are a citizen or resident of the United States.
PRALUENT® (alirocumab) Patient Assistance Program (PAP) Re-enrollment Form. If you need help paying for your medicine, MyPRALUENT may be able to help eligible patients. You may qualify for assistance with the cost of your medication if you meet these eligibility requirements.
For eligible patients, Salix Pharmaceuticals will be responsible to pay your copay/out-of-pocket expense for each eligible prescription fill using this copay savings card; maximum benefits apply. Please call 1-855-202-3719 for more information.
At Salix, we work side by side with patients, healthcare professionals, and educational organizations in the ongoing pursuit of life-changing GI healthcare. That’s how we’ve become one of the largest specialty pharmaceutical companies in the world, and how we promise to continue our journey.
