Dedicated support for your patients and their families
IPSEN CARES® patient support program helps patients get access to their IQIRVO prescription with the information and support they need
The IPSEN CARES patient support program provides patients and families with resources to help them better understand and manage their condition.


Financial &
Insurance Assistancea

Dedicated
1-on-1 Support

Continuity of Care

Educational Materials
& Programs
Eligible, commercially-insured patients may pay as little as $0 per IQIRVO prescription through the Copay Assistance Programb
For information on helping your patients access
IQIRVO, contact the IPSEN CARES team.
Getting started with IPSEN CARES
Enroll your patients by filling out the IPSEN CARES Enrollment Form

Fill Out and Submit Online

Fill Out Online and Fax to
(855) 465-3820

Print Out and Fax to
(855) 465-3820
Visit IPSENCARES.COM to access the IQIRVO Enrollment Form.
Patients must review and sign the patient authorization section, which can be done in-office or online.
To learn more about IPSEN CARES,
visit IPSENCARES.COM
(866) 435-5677
Monday-Friday, 8:00 AM – 8:00 PM ET
support@ipsencares.com
aPlease see Patient Eligibility Terms and Conditions at ipsencares.com.
bCopay Assistance Program Patient Eligibility & Terms and Conditions: Patients are not eligible for copay assistance through IPSEN CARES if they are enrolled in any state or federally funded programs for which drug prescriptions or coverage could be paid in part or in full, including, but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, DoD, or TRICARE (collectively, "Government Programs"), or where prohibited by law. Patients must be United States residents (including its territories) and enrolled in IPSEN CARES to receive copay program benefits. Patients receiving assistance through another assistance program or foundation, free trial, or other similar offer or program, are not eligible for the copay assistance program during the current enrollment year. An annual calendar year maximum copay benefit applies. Patients may remain enrolled in copay assistance as long as eligibility criteria is met. Patients or guardians are responsible for reporting receipt of copay savings benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled through the program, as may be required. Additionally, patients or guardians may not submit any benefit provided by this program for reimbursement through a Flexible Spending Account, Health Savings Account, Health Reimbursement Account, or otherwise to a government or private payor. Ipsen reserves the right to rescind, revoke, or amend these offers without notice at any time. Ipsen and/or its copay assistance vendor are not responsible for any transactions processed under this program where Medicaid, Medicare, or Medigap payment in part or full has been applied. Data related to patient participation may be collected, analyzed, and shared with Ipsen for market research and other purposes related to assessing the program. Data shared with Ipsen will be de-identified, meaning it will not identify the patient. Void outside of the United States and its territories or where prohibited by law, taxed, or restricted. This program is not health insurance. No other purchase is necessary. Copay assistance cannot be sold, purchased, traded, or counterfeited. Void if reproduced.