ZOMACTON Patient Assistance Program
Patient Eligibility
Eligibility Requirements
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I have been prescribed Zomacton for a labeled indication.
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Please select your label indication:
Select One
GH deficiency (includes hypopituitarism & panhypopituitarism) (E23.0)
Idiopathic Short Stature (ISS) (R62.52)
Turner syndrome (Q96)
Postprocedural hypopituitarism (E89.3)
Short stature born small for gestational age (P05)
Short stature due to endocrine disorder (SHOX) (E34.3)
Hypopituitarism iatrogenic NEC (E23.1)
Not eligible for copay program
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Insurance Type:
Select One
Insured
Insured Not Covered / Cash
Not eligible with Medicare
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