NUWIQ® Free Trial Program for Hemophilia A Treatment
Octapharma Free Trial Program
With the Octapharma Free Trial Program, eligible Hemophilia A patients can receive treatment with NUWIQ (not to exceed 6 doses or not exceed approximately 20,000 IUs) at no cost, shipped directly to you, and administered under the supervision and care of your physician.
There’s never been a better time to try NUWIQ and see if it’s right for you.
3 Simple Steps to Enroll
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Please ask your physician to apply for the Free Trial Program on your behalf by calling the Factor My Way Support Center at 1-855-498-4260.
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Your physician writes you a prescription for NUWIQ, completes the Enrollment Form, and uploads your prescription into the Provider Portal.
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You will receive a text message with a link to approve your consent for the Free Trial Program.
What Happens Next?
- Your Factor My Way representative will review all the documents to ensure you meet program eligibility criteria.
- Your Factor My Way representative will process the completed Enrollment and Patient Consent Forms, then send your prescription to a specialty pharmacy for fulfillment.
- Your Factor My Way representative will confirm that your NUWIQ prescription has been shipped to you.
- You will be administered NUWIQ under the supervision and care of your physician.