Simplifying patient access, providing comprehensive support

AVYXASSIST™ can offer support to qualifying patients in need.
The program provides the following services*

*For eligibility requirements, please contact a Patient Access Specialist

TO ENROLL, PLEASE CHOOSE ONE OF THE FOLLOWING OPTIONS

Phone

866-939-8927
Monday through Friday
8 AM to 8 PM ET

OR

Online

Click on the link below
to begin your online
enrollment

OR

Fax

Download, print and fax
the completed enrollment
form to 833-852-3420

AVYXASSIST™
Patient Consent Form

Have your patient sign the AVYXASSIST™ Patient Consent Form below.
Alternatively you may download, print and fax the Patient Consent form to AVYXASSIST™.

Downloadable Resources for Healthcare Providers

For additional support, speak with an AVYXASSIST™ Patient Access Specialist today

Call 866-939-8927 or Fax 833-852-3420
Monday through Friday, 8:00 AM to 8:00 PM ET
Please call AVYXASSIST™ for assistance with other languages. Translation services are available.

Call 866-939-8927 or Fax 833-852-3420
Monday through Friday,
8:00 AM to 8:00 PM ET
Please call AVYXASSIST™ for assistance with other languages. Translation services are available.