STATUS: Open

CLIENTS SERVED: Patients who have Acute Lymphoblastic Leukemia.

DESCRIPTION: Eligible patients may receive assistance with travel and lodging expenses related to receiving Rylaze treatment.

SERVICES / PROGRAMS:  Patient Assistance Program for eligible patients:
Provides Jazz products at no cost to patients who are uninsured or deemed uninsured due to lack of coverage for a Jazz product.  Subject to financial and residency eligibility criteria. Only available for certain Jazz products. Provides eligible patients with assistance for out-of-pocket costs, subject to annual maximum. Also Possible:  Travel Expenses / Gas Cards / Lodging / Housing Services / Expenses

HOW TO APPLY:  Sign the Patient Consent Form to start the enrollment process and see if you are eligible for the JazzCares services: https://www.jazzcares.com/patients/rylaze

***Your healthcare provider must submit the JazzCares Enrollment Form to complete your enrollment process