ZYDELIG® AccessConnect®

Patient financial support

ZYDELIG AccessConnect is a central resource designed to help all patients navigate therapy and support offerings. Patients enrolled in ZYDELIG AccessConnect will be matched with a case specialist who can help answer financial questions related to ZYDELIG® and connect patients with the appropriate people and financial resources.

Download ZYDELIG AccessConnect support materials, including the patient enrollment form, at the bottom of this page. You can also enroll patients and get additional program details by visiting the ZYDELIG AccessConnect site.

Go to ZYDELIG AccessConnect site

Patient nurse support

Through ZYDELIG AccessConnect, patients have access to a team of patient support nurses who can answer questions and provide tips related to therapy. Nurse support is available to all patients enrolled in ZYDELIG AccessConnect or patients can sign up for the ZYDELIG nurse support program directly.

Download the ZYDELIG nurse support program enrollment form at the bottom of this page.

The chart below provides an overview of the support offerings that may be available to patients enrolled in ZYDELIG AccessConnect.

A team of patient support nurses can answer questions and provide tips related to your therapy. Nurse support is available to all patients enrolled in ZYDELIG AccessConnect, or you can get nurse support through enrolling in the ZYDELIG Nurse Support Program directly.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

Case Specialists can help answer insurance and financial questions related to ZYDELIG.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

ZYDELIG is available primarily through a select number of pharmacies, known as specialty pharmacies. Your Case Specialist will send your prescription to a specialty pharmacy.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

If your insurance does not cover ZYDELIG, you may be eligible to receive ZYDELIG free of charge.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

AccessConnect can provide information about alternative public and private financial support sources.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

With the ZYDELIG Copay Coupon Card, eligible individuals pay no more than $5 for a 30-day supply of ZYDELIG.* To activate, enroll or replace your Copay Coupon Card visit: activatethecard.com/zydelig.

Private/
commercial
insurance
Medicare or
Medicaid
Uninsured

ZYDELIG AccessConnect support materials

Image of ZYDELIG® AccessConnect® enrollment form

AccessConnect enrollment form

Download PDF
En Español
Image of patient nurse support program enrollment form

Patient nurse support program enrollment form

Download PDF
En Español
Image of How to access ZYDELIG® contact list icon

“How to access ZYDELIG”
contact list

Download PDF
Image of ZYDELIG® AccessConnect® support card: comprehensive guide to ZYDELIG financial support offerings

ZYDELIG® AccessConnect® support card: comprehensive guide to ZYDELIG® financial support offerings

Download PDF

ZYDELIG dosing

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Healthcare professional
resources

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Patient resources

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*Certain restrictions may apply. You may be eligible for the Copay Coupon Program if you:

  • Have commercial prescription drug insurance coverage that does not cover all of your out-of-pocket cost.
  • Have commercial prescription drug insurance coverage that does not cover ZYDELIG.
  • Have no insurance.

You are not eligible if you are enrolled in a government healthcare prescription drug program, such as Medicare Part D or Medicaid. Also, if you are in the Medicare Part D coverage gap, or “donut hole,” you are not eligible. Other financial assistance may be available for you. To learn more, please call ZYDELIG AccessConnect at 1-844-6ACCESS (1-844-622-2377).