Try ALPROLIX for 3O days ‒ free
Discuss with your healthcare provider (HCP) if ALPROLIX is a good choice for you.
- Download, complete, and sign the Free Trial Plus Enrollment Form and bring it to your HCP
- Your HCP will submit the form to MyALPROLIXTM Services
- A MyALPROLIX Coordinator will contact you within 2 business days to confirm coverage and delivery details
- If eligible, your 30-day supply will be shipped to you within 24 hours
- Bioverativ will continue to provide you with ALPROLIX for free until your insurance coverage begins, for up to one year
Find out more about other financial support available through MyALPROLIX.
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QHow do I know if I'm eligible to receive a free 30-day supply of ALPROLIX?
AYou may be eligible for the Free Trial Plus Program if:
- This is your first prescription of ALPROLIX
- You are uninsured, or
- You are insured, with the exception of government healthcare coverage, such as Medicare, Medicaid, or Tricare
- Other restrictions may apply
QCan I get a free 30-day supply if I'm already using ALPROLIX?
ANo. You are only eligible for the Free Trial Plus Program if you have not yet started treatment with ALPROLIX. There may be other programs to help with your specific situation. Call 1-855-MyALPROLIX (692-5776) Monday through Friday 8 AM to 8 PM, ET to speak with your MyALPROLIX Coordinator.