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NextSource Cares™ provides free medications marketed by NextSource Pharma to patients for whom a medical need is established, who cannot afford the cost of therapy, and who have no other reimbursement options that would enable them to purchase the product.
Our program is designed to assist uninsured or underinsured individuals providing free medication at no cost to qualifying U.S. patients.
If you or a loved one are uninsured or underinsured, we encourage you to speak with your healthcare provider and patient advocate and apply for our NextSource Cares patient assistance program today.
How the program works
- Our program is available only to those patients who meet our eligibility requirements.
- A patient application including details of your healthcare provider and supporting documents must be completed in full for review.
- Once your eligibility is confirmed and you are approved for the program, you will receive your medication, free of change, for six (6) cycles of the program
- Patients can reapply to the program should their medication need continue.
- It’s free to apply!
Am i eligible?
To find out if you qualify for NextSource Cares™ Patient Assistance Program, just answer these simple questions:
- Has your doctor prescribed a NextSource Pharma drug?
- Are you a permanent, legal resident of the United States?
- Is your total GROSS (before deductions) yearly household income equal to or less than four (4) times the Federal Poverty Level? (Visit https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines for information on Federal\Poverty Level guidelines.)
How do i apply?
If you answered ‘yes’ to all the questions above, we invite you to download our NextSource Cares™ application.
If you have questions about the program and/or your eligibility, please call 855-672-2468 option 2 to speak to one of our Patient Advocates.
Questions about Patient Assistance?
For program details and eligibility, contact one of our patient advocates today!
855.672.2468, option 2
