Manufacturer copay assistance · Prolastin-C (J0256) · Grifols
Eligible patients pay $0… · Maximum benefit Annual cap applies — call Prolastin Direct for current dollar amount · Covers Prolastin-C drug copay only — does NOT cover infusion administration
Published terms from the manufacturer. Per-patient eligibility is confirmed at enrollment.
This manufacturer program excludes government insurance. Foundation disease funds are the route instead — status shown as of each fund's last verification.
Yes — Prolastin Direct Co-Pay Assistance Program from Grifols. Eligible patients pay $0 out-of-pocket. Commercial insurance is required; Medicare and Medicaid patients are not eligible.
Eligible patients pay $0 out-of-pocket Maximum benefit: Annual cap applies — call Prolastin Direct for current dollar amount. Covers Prolastin-C drug copay only — does NOT cover infusion administration
Accepted insurance: commercial. Not eligible: medicare, medicaid, tricare, va, government.