*Program Disclaimer Your Patient Consent form is required before you can access RUCONEST SOLUTIONS support services, which includes Starter Rx and access to an RPA.
Some programs are limited to patients with commercial insurance.
The program only applies in the United States, including Puerto Rico and other US territories, and does not apply where prohibited by state law or other restrictions. Program is subject to availability, and Pharming Healthcare, Inc., reserves the right to rescind, revoke or amend the Program at any time without notice.
If your insurance company is impacted by an Accumulator and/or a Maximizer program, this can impact program eligibility.
Some insurance companies are instituting new policies called accumulator adjustment programs and/or maximizer programs. These can affect your participation in the RUCONEST Patient Savings Program.
‡Terms and Conditions Patients new to RUCONEST may be eligible for a free trial (up to 2 doses). Free trial offer is subject to modification or cancellation at any time, with or without notice. Program is subject to eligibility restrictions and is good for only one StarterRx offer per lifetime. Diversion Program or company mandates that you apply, maximize, exhaust, and/or show proof of denial in a manufacturing's assistance program, you are not eligible for Pharming's Patient Assistance Program even if you meet all other coverage criteria. Pharming Healthcare, Inc., does not have any obligation to provide the program services to you and is not liable in the provision of these services. If you do not have insurance or insurance for RUCONEST, we may be able to help you find a program that fits based on eligibility or availability. Before you enroll in the Patient Assistance Program, it is important you understand that you will be asked to provide personal information that may include your name, address, phone number, email address, financial information, and information related to your prescription medication insurance and treatment. This information will be used by Pharming Healthcare, Inc., and its service providers to determine your eligibility for, enroll you in, and administer the program. Offer good only in the United States and its territories. Void where prohibited, taxed, or limited by law. Program terms will expire at the end of each calendar year and may change or end without notice, including in specific states. Some employers, insurers, and other companies require patients to apply for medication coverage from free product programs instead of covering such medications directly and immediately through insurance, which could lead to delays in care. These types of “Assistance Diversion Programs” are generally established by companies that profit by diverting resources away from patients in need. An Assistance Diversion Program is any insurer, employer, or third-party program that withholds coverage or payment for patient's medically necessary drug until patient has completed an application for free productassistance. If your employer, insurer, or any other Assistance Diversion Program or company mandates that you apply, maximize, exhaust, and/or show proof of denial in a manufacturing's assistance program, you are not eligible for Pharming's Patient Assistance Program even if you meet all other coverage criteria. Pharming Healthcare, Inc., does not have any obligation to provide the program services to you and is not liable in the provision of these services.
