For HCPs > What to expect
Once you complete the Patient Referral Form (PRF), send it to AMICUS ASSIST®.*
Fax number: 1-833-264-2873
For HCPs: Informs your office about whether prior authorization (PA) is required, and the steps for obtaining PA.
For patients: Tells your patient when to expect a Welcome Kit and answers any questions regarding access to treatment.
Once they confirm the PA (if required), the specialty pharmacy will coordinate the delivery of their prescription and refer your patient to a patient assistance program, if needed.
The case manager will continue to provide ongoing support, such as support for refills and reauthorizations.
*Patients must be prescribed an Amicus medication for an approved indication to be eligible for support from AMICUS ASSIST®.
We are committed to helping your patients get access to treatment.
AMICUS ASSIST is proud to help identify possible sources of financial assistance including:
*Co-pay assistance is only available for patients with commercial (private) prescription drug insurance. Patients are not eligible for co-pay assistance if they are enrolled in a state or federally-funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, VA, DOD, or a state prescription drug assistance program or where prohibited by law. Offer is subject to program maximum limits. Offer is only available for U.S. residents who have a valid prescription for an Amicus product. Amicus reserves the right to rescind, revoke, or amend this offer without notice.
†The Patient Assistance Program provides free product to those who qualify. Contact AMICUS ASSIST for details.
Amicus makes no representation or guarantee concerning reimbursement or coverage for any service or item. Information provided through the AMICUS ASSIST program does not constitute medical advice and is not intended to be a substitute for a consultation with a licensed healthcare provider or applicable third-party payer(s). Amicus reserves the right to modify the program at any time without notice.