NUWIQ Free Trial Program
The NUWIQ Free Trial Program is a unique opportunity for Hemophilia A patients and their providers to experience the safety, efficacy and convenience of NUWIQ at no cost.
Please call 1-800-554-4440 to start your patient on the NUWIQ Free Trial Program.
If your patients are currently using another FVIII product, or if they’re not currently using factor treatment, you may want to consider NUWIQ.
With the NUWIQ Free Trial Program, eligible Hemophilia A patients can receive treatment with NUWIQ (not to exceed 6 doses or not exceed approximately 20,000 IUs) at no cost, shipped directly to the patient and administered under your care and supervision.
There’s never been a better time to try NUWIQ.
3 Steps to Enroll
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Download and complete the NUWIQ Enrollment and Patient Consent Forms with your patient.
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Write and hand your patient a prescription for NUWIQ
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Your patient faxes completed forms and NUWIQ prescription to Program Administrator, Covance at
1-800-554-6744.
What Happens Next?
- Program Administrator reviews documents to ensure patient meets program criteria
- Program Administrator processes completed NUWIQ Free Trial Enrollment and HIPAA forms and sends prescription to pharmacy for dispensing of NUWIQ
- Program Administrator confirms NUWIQ is shipped to your patient
- Patient is administered NUWIQ under the care and supervision of a healthcare provider
