Prescription assistance
Alkermes Patient Assistance
Provides free medications to eligible uninsured or underinsured patients through Alkermes Patient Assistance.
Alkermes Patient Assistance offers free brand-name medications to patients who meet income and insurance criteria. Apply online or through your healthcare provider.
Who qualifies
A quick look at who this program is designed to help.
Patients must be uninsured or underinsured, reside in the U.S., and have a household income at or below 400% of the federal poverty level. Must have a valid prescription from a licensed U.S. healthcare provider. Not eligible if enrolled in Medicare Part D, Medicaid, or other government-funded prescription coverage.
Where
Income
Age
Conditions
Insurance
Stage of care
What you'll need
Have these ready before you start the application.
- Completed application form, proof of income (most recent tax return, W-2, pay stubs, or Social Security benefit letter), proof of residency, valid prescription, and a signed statement from your healthcare provider.
How it works
1. Download and complete the application form from the program website or request one by phone. 2. Have your prescribing doctor complete and sign the medical portion. 3. Attach proof of income (tax return, pay stubs, or benefit letter). 4. Submit the completed application by mail, fax, or online. 5. If approved, medications will be shipped to your doctor's office or home.
Ready for the next step?
Visit the program’s website for current instructions. Your matches will be here when you return.