Contact Us

Phone: (347) 691-3494

Fax: (800) 540-1852

email: cap@quickrxspecialty.com

©2018 BY QUICKRX CAP

About Our Tetrabenazine
Copay Assistance Program

We believe that high deductibles and co-pays should not prevent anyone from receiving the medications they need. That's why our Movement Disorder Copay Assistance Program is designed to help patients reduce their co-pays and out of pocket costs for their medication. Our program works with various organizations and manufacturer assistance programs to help make a patient's medication affordable.

How Do I Qualify?

  • You are receiving treatment in the United States

  • You are currently diagnosed and being treated for one of the following movement disorders:

  1. Chorea

  2. Huntington's Disease

  3. Tardive Dyskinesia

  4. Tourette Syndrome

  • Your Insurance is paying for a portion of your medication

How Do I Apply?

  • You can call us at (347)-691-3494 or toll-free at (800)-496-6111

  • You can also fill out the Contact Us form and someone will call you back within 1-2 business days