Apply to JazzCares Patient Assistance Program
Free Jazz medicines for people who are uninsured or treated as uninsured because their coverage does not include the Jazz product. Apply directly with the program; here is what it asks and what happens next.
Who can apply?
Subject to financial and residency criteria that are not published; call 1-833-533-5299.
Subject to financial and residency criteria that are not published; call 1-833-533-5299.
Uninsured, or deemed uninsured due to lack of coverage for the Jazz product. Insurance-type rules not published. Commercially insured patients have a separate copay program.
Then what?
Sign
- Patient Authorization for Disclosure and Use of Health Information (required for Jazz-sponsored programs)
Attach
- Nothing extra, unless the program asks later.
Your prescriber
Send
Questions: call JazzCares Patient Assistance Program at 1-833-533-5299. Length of enrollment not stated.
Free. EveryCard Rx isn't paid by the program and never sends anything for you. Form , rules checked 2026-11-06 from the program's own pages. Something out of date? Tell us.