Akrimax offers a patient assistance program providing Akrimax brand name medications to individuals who meet eligibility requirements. Eligibility is based on your annual household income and prescription insurance status.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • I

    • InnoPran XL®
  • N

    • Nitrostat®
  • P

    • Primlev
  • S

    • Suprenza
  • T

    • Tirosint