This program provides 1,000 eligible patients with monthly supplies of ZUBSOLV as prescribed by their physician at no charge. Patients must demonstrate continued eligibility every six months. Those who enroll after the 1,000 patient limit is reached will be placed on a waiting list. Call 1-888-236-4167 to receive an application in the mail.  

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

  • Z

    • Zubsolv