JazzCares provides access and savings support for ZEPZELCA™
Patients and Healthcare Providers can learn more about JazzCares support offerings by calling
1-833-533-JAZZ (5299)Monday-Friday, 8 AM - 8 PM ET
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To help your patients get access to ZEPZELCA™, JazzCares Specialists are available to assist with

Benefit Investigations

Prior Authorization Support

Appeals Support

Billing and Coding Information

Referrals to Other Financial Assistance

holding hands

JazzCares is committed to helping eligible patients reduce their out-of-pocket costs for ZEPZELCA™

Savings Card

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Free drug program for eligible patients

JazzCares provides
access and support
Patients and Healthcare Providers can learn more about JazzCares support offerings by calling
1-833-533-JAZZ (5299)Monday-Friday, 8 AM - 8 PM ET
umbrella

To help you get access to ZEPZELCA™, JazzCares Specialists are available to assist you with

Understanding Your Insurance Coverage

Other Cost and Coverage Questions

Referrals to Other Financial Assistance

holding hands

JazzCares is committed to helping eligible patients reduce their out-of-pocket costs for ZEPZELCA™

Savings Card

heart

Free drug program for eligible patients

Forms and Resources

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Enrollment and Patient Authorization Form:

Fully complete and submit to start enrollment in support offerings

Download
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Patient Assistance Application:

Fully complete and submit to be evaluated for free drug program

Download
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Patient Authorization Form:

Fully complete and submit for patient to start authorization for support offerings

Download
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Patient Support Brochure:

Overview of JazzCares support

Download
Patients and Healthcare Providers can learn more about JazzCares support offerings by calling
1-833-533-JAZZ (5299)Monday-Friday, 8 AM - 8 PM ET

Healthcare Providers may request to be contacted by a Jazz Access and Reimbursement Manager for assistance with additional reimbursement-related questions.

*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.

ZEPZELCA is a trademark of Pharma Mar, S.A. used by Jazz Pharmaceuticals under license.