Eligibility & Enrollment

To find the financial support program that may be right for your patient, answer a few questions with the financial assistance tool, which will guide them through some of their options and indicate any next steps.

Want more information about some of their options?
Take a look at some potential financial support programs.

Here are a few things you may need on hand:

  • Patient information: full name, date of birth, mailing address, email, phone (home and/or mobile) and insurance information
  • Prescribing doctor's information: first/last name, practice name, address and phone
  • Patient's financial eligibility information: number of people in the patient's household (including patient) and annual net household income*

*Not required for all programs

Contact Us

Questions? Contact GAVRETO Access Solutions

Call 888-249-4918 (Mon.–Fri., 6AM–5PM PST)