Patient Instructions for AAP Application Submission

The Astellas Access ProgramSM (AAP) provides Prograf at no cost to qualified patients who are uninsured. This program is managed by Astellas Reimbursement ServicesSM (ARS).

Step 1: Application Process for Enrollment

Work with your prescriber to collect the necessary information to submit an AAP request. Your prescriber is required to obtain proof of your income and retain it in your file. Acceptable forms of documentation include:

  • Latest federal or state tax return
  • Latest W-2 statement
  • SSDI/SSI award letter
  • Latest bank statement (one month)
  • Latest pay stub(s) (one month)
  • State program acceptance letter or card
  • 1099 Social Security form

Step 2: Enrollment Process

If accepted into the AAP, both the patient and the prescriber will receive an acceptance letter confirming the start and end dates for the enrollment period. The AAP Pharmacy will ship Prograf within 3-5 business days of the patient's enrollment notice. The AAP Pharmacy will contact the patient to verify the logistics for each subsequent shipment.

Should you have any questions regarding the AAP, please do not hesitate to call us at 1-800-477-6472, Monday-Friday, 9 am - 8 pm ET. We remain committed to supporting and improving access to Prograf.


PLEASE SEE INDICATION AND IMPORTANT SAFETY INFORMATION INCLUDING BOXED WARNING HERE.
PLEASE SEE FULL PRESCRIBING INFORMATION HERE.

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