Assistance Program^SM

This program is available for patients with financial difficulties. Physicians apply for this program on behalf of their patients. Eligibility is determined on a case-by-case basis through a formal review process at Digestive Care, Inc.Upon approval, a FREE three month supply of Pertzye^® will be sent to the requesting physician for distribution to their patient. If another supply is needed, the physician is to submit another enrollment form.

Click here or click the form to download a PDF of the Assistance Program^SM form.