Patient Assistance Program Terms and Conditions
The Kiniksa Pharmaceuticals Patient Assistance Program provides Kiniksa medicine at no cost to patients in need of financial assistance who meet the eligibility requirements.
- The patient lacks adequate prescription drug coverage for the medicine based on the criteria in use at the time of an application.
- The patient lives in the U.S. or a U.S. territory.
- The patient has a valid prescription for the medicine for an FDA-approved indication.
- The patient meets the program financial eligibility requirements.
Kiniksa’s Patient Assistance Program does not require, and is not in any way contingent on, the use of the medicine or purchase requirements of any kind. No claim for reimbursement for the medicine dispensed pursuant to the Patient Assistance Program may be submitted to anyone, including an insurance source.
Additional eligibility requirements and program terms and conditions apply, including without limitation with respect to patients with Medicare Part D drug plans. Kiniksa Pharmaceuticals reserves the right to rescind, revoke, or amend the Patient Assistance Program at any time without notice.
The Kiniksa One Connect team will evaluate and determine if a patient is eligible for the Patient Assistance Program. If the patient is eligible, we will notify and ship the medicine directly to the patient. Assistance Program may not apply in certain states. Contact the Kiniksa One Connect team at 1-833-KINIKSA (1-833-546-4572) for additional information.