
The THERA patient support® program provides patients with access to TROGARZO® and ongoing support throughout their treatment.
ENROLLING NEW PATIENTS
Download and complete the TROGARZO® Enrollment Form and fax to 1-855-836-3069.
Download Enrollment FormEnrollment Assistance
Choose to ePrescribe through your EMR, submit online through our prescriber portal, or fax the completed enrollment form to start new patients on TROGARZO® and connect them with THERA Patient Support®. THERA Patient Support® prescriber portal allows users to easily submit referrals online, view patient enrollment status, upload relevant documents, and track referral status through to delivery. After receiving all required forms and documentation, a dedicated Patient care coordinator will begin the enrollment process immediately, to provide timely access to therapy.
Reimbursement Navigation and Financial Assistance
THERA Patient Support® manages the assessment and verification of private and public insurance coverage, (including ADAP) and will also assist in applying any eligible co‑pay assistance. For uninsured patients, alternative coverage or assistance options may be available. For uninsured patients, alternative coverage or assistance options may be available. THERA Patient Support® will also assist in the Prior Authorization process.
Infusion Coordination and Support
Patients can receive TROGARZO® infusions from a healthcare provider at locations convenient to them: Physician offices, infusion centers, or at home. THERA Patient Support® can coordinate infusion locations and provide ongoing appointment reminders.
Download the TROGARZO® Dosing & Administration Guide, which provides an overview on the IV administration process.
DownloadDownload the full Prescribing Information for TROGARZO®, which includes complete product information.
DownloadDownload the Billing & Coding Guide for TROGARZO®, which outlines the information needed to file a health insurance claim.
DownloadDownload the TROGARZO® Enrollment Form used to enroll patients into the Thera Patient Support® program.
DownloadDownload the TROGARZO® Patient Brochure, which provides patients with useful information on TROGARZO®, what to expect with their infusions, and how the THERA Patient Support® program can help.
Download