The Eisai Assistance Program for Banzel® provides support to patients who need assistance paying for Banzel®. This program provides Banzel® at no cost to financially needy patients who meet program eligibility criteria.
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.