Please read the
Medication Guide
for TOFIDENCE, including the Boxed Warning, and talk to your doctor. The physician
Prescribing Information
also is available.
This private and confidential program provides product free of charge to eligible patients, primarily the uninsured, who, without our assistance, could not afford needed Organon medicines. A single application may provide for up to 1 year of product free of charge to eligible patients and a patient may reapply as many times as needed.
If you have been prescribed an Organon medicine, you may be eligible for the program* if all 3 of the following conditions apply:
You are a US resident and have a prescription for an Organon product from a health care provider licensed in the United States.†
AND
You do not have insurance or other coverage for a prescription medicine.
AND
You cannot afford to pay for your medicine. You may qualify for the patient assistance program if you have a household income of $78,250 or less for individuals, $105,750 or less for couples, or $160,750 or less for a family of 4.‡
* Offered through the Organon Patient Assistance Program Inc.
† You do not have to be a US citizen. Legal residents of the United States, including US Territories, are also eligible.
‡ For income limits in Alaska and Hawaii, please call 888-727-0015.
To apply for the Organon Patient Assistance Program for TOFIDENCE, you must complete an Enrollment Form for The Organon Access Program. The Organon Access Program provides support to help answer questions related to insurance coverage and reimbursement.
You and your health care provider can call The Organon Access Program at 855-635-9581 to request an enrollment form. The Organon Access Program representatives are available 8 AM to 8 PM ET, Monday through Friday, to answer questions about the program.
You and your health care provider can call the Organon Access Program at 888-727-0015 to request an enrollment form.
The Organon Access Program representatives are available 8 AM to 8 PM ET, Monday through Friday, to answer questions about the program.
For more information about TOFIDENCE and the Patient Assistance Program, please call 855-635-9581 between 8:30 AM - 8 PM ET, Monday through Friday.