Our Kadmon ASSIST team is
available to help you Monday
through Friday, 8 AM-8 PM ET
.

Contact Us

Monday through Friday, 8 AM-8 PM ET.

Phone: 1-844-KADMON1 (523-6661)   Fax: 1-833-635-1481

Programs and Services

Kadmon ASSIST offers coverage
verification, financial assistance
and patient support services.
Explore our list of programs and services below.

Insurance Insurance

A Kadmon ASSIST Case
Manager will review your
patients’ coverage and the cost
of REZUROCK™ (belumosudil),
offer the best program that fits
your patients’ coverage plans
and help navigate the
prior
authorization (PA) or the
medical exception/appeals process.
Kadmon ASSIST will gather all relevant information to support with the completion and submission of
a PA/
Nonformulary Exception (NFE)
form. If the PA/NFE form is
denied, Kadmon ASSIST will
offer assistance with appeals.
Upon PA approval, a Kadmon
ASSIST Case Manager will
consistently follow
up to
confirm if your patients are still
on therapy and to offer
assistance with resubmitting a
PA.
The Kadmon ASSIST PAP helps eligible patients who do not have insurance coverage or who have trouble affording REZUROCK. Through the PAP, patients may
be eligible to receive a free
supply of REZUROCK.

Eligibility criteria

  • Patients must be enrolled in
    Kadmon ASSIST and provide
    consent
  • Patients must have a valid
    prescription for REZUROCK
    with on-label diagnosis
  • Patients must reside in the
    United States or its territories
  • Patients must be uninsured or
    underinsured
  • Patients must meet additional
    income criteria and program
    requirements

Access Access

The Quick Start Program
delivers a free 30-day supply of
REZUROCK to eligible patients
who are experiencing a delay
in their coverage decision for their
first REZUROCK prescription.

Eligibility criteria

  • Patients must be enrolled in
    Kadmon ASSIST and provide
    consent
  • Patients must be new to
    therapy (initial fill) with
    REZUROCK
  • Patients must have a valid
    prescription for REZUROCK
    with on-label diagnosis
  • Patients must reside in the
    United States or its territories
  • Patients must have prescription drug coverage
  • Patients must have
    a coverage barrier, such as a
    PA, in obtaining their
    treatment that will take
    longer than 5 business days
The Bridge Program delivers a
free 30-day supply of
REZUROCK to eligible patients
who are facing an interruption
in their insurance coverage.

Eligibility criteria

  • Patients must be enrolled in
    Kadmon ASSIST and provide
    consent
  • Patients must already be on
    therapy with REZUROCK and
    face an interruption in
    insurance coverage
  • Patients must have a valid
    prescription for REZUROCK
    with on-label diagnosis
  • Patients must be
    commercially or privately
    insured
  • Patients must reside in the
    United States or its territories
  • Patients must have a
    coverage barrier, such as a
    PA, in obtaining their treatment
Kadmon ASSIST will help identify
a specialty pharmacy within the
REZUROCK network and provide
email and text message
communications regarding
product shipment.

Access Co-Pay

Eligible patients with
commercial or private
insurance pay no more than $10
per month for their REZUROCK
prescription.a

Eligibility criteria

  • Patients must be
    commercially or privately
    insured
  • Patients enrolled in a state-
    or federally funded insurance
    program are not eligible (eg,
    Medicare
    Part D, Medicaid,
    TriCare)
  • Cash-paying patients are not
    eligible
  • Patients must have a valid
    prescription for REZUROCK
    with on-label diagnosis
  • Patients must be a resident
    of the United States or its
    territories
  • Patients must be aged ≥12
    years

aPatient Terms and Conditions: The Kadmon
ASSIST Commercial Co-pay Savings
Program provides co-pay/coinsurance
support for out-of-pocket costs on
REZUROCKTM (belumosudil) tablets prescriptions, up to $25,000 per calendar year, limit one 30-day supply per 30 days. This program is not health insurance. This program is for commercially or privately insured patients only; uninsured or cash-paying patients are not eligible. Patients are not eligible if prescriptions are paid, in whole or in part, by any state- or federally funded programs, including, but not limited to, Medicare (including Part D, even in the coverage gap) or Medicaid, Medigap, VA, DOD, TriCare, private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs, or where prohibited by law. The co-pay program may not be combined with any other rebate, coupon or offer. Kadmon Pharmaceuticals, LLC, reserves the right to rescind, revoke or amend this offer without further notice. Card is valid through December 31 of the year of activation. On January 1 of the following year, the card automatically resets and is subject to annual limits if the prescription benefit remains the same.

Access Education

All eligible patients enrolled in
Kadmon ASSIST will receive a
Patient Starter Kit with their
first prescription of
REZUROCK, which includes
disease information and
treatment education. Kadmon
ASSIST Case Managers will
connect eligible patients with a
clinical nurse who can answer
their questions and support
medication adherence.

Referrals to independent foundations

Patients who are not eligible for
any affordability programs
through Kadmon ASSIST (eg,
Medicare, Medicaid, federal or
state program) may be referred
to an independent charitable
foundation for assistance.

All patients are eligible for
benefits investigation and
verification services, as well as
adherence support.

Program Enrollment Form

Program
Enrollment Form

Find out which services your
patients are eligible for by
completing this form. Our Kadmon
ASSIST Case Managers can find the best program for your patients.

Enroll for Co-Pay Support

Enroll for
Co-Pay Support

For eligible patients with commercial
or private
insurance plans.

CONTACT US

Our Kadmon ASSIST team is
available to help you Monday
through Friday, 8 AM-8 PM ET
.
Phone: 1-844-KADMON1 (523-6661)
Fax: 1-833-635-1481