JazzCares is committed to helping your patients get access to their RYLAZE medication and providing personalized support throughout their treatment

Enroll now so your patients can see if they are eligible for the JazzCares support services described below

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Patient Advocate University

Guiding Your Patients to Therapy: 5 Welcome Steps

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JazzCares supports patients and practices with

Benefit Investigation—Helps patients understand their insurance coverage for RYLAZE

 

Prior Authorization Support

 

Appeals Support

 

Billing and Coding Information

 

Referrals to Other Financial Assistance

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Reduction of out-of-pocket costs for eligible patients

Savings Card—Eligible, commercially insured patients can pay as little as $10 for their RYLAZE medication, subject to an annual maximum

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Patient Assistance Program for eligible patients

Uninsured or underinsured patients who meet certain financial criteria may be eligible to receive RYLAZE at no costa

aSubject to financial and residency eligibility criteria.

Resources

Patient Support Flashcard:

Information on JazzCares support services for you to help your patients get access to their medication

Download

Sample Letter of Medical Necessity:

Use as a guide to complete the Letter of Medical Necessity to a payer for your patient

Download

Sample Letter of Appeal:

Use as a guide to complete the Letter of Appeal to a payer for your patient

Download
You can learn more about JazzCares support
offerings by calling
1-833-533-JAZZ (5299)Monday-Friday, 8 AM-8 PM ET
Insurance coverage and plans may vary. The JazzCares program at Jazz Pharmaceuticals provides general information only and is not a guarantee of any coverage or reimbursement outcome. All treatment decisions rest solely with the treating physician or qualified healthcare professional. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time with or without notice. Other terms and conditions apply.