wilate Free Trial Program

The wilate Free Trial Program is a unique opportunity for VWD patients and their providers to experience the safety, efficacy and convenience of wilate at no cost.

Please call 1.800.554.4440 to start your patient on the wilate Free Trial Program.

If your patients are currently using another VWF/FVIII product, or if they’re not currently using factor treatment, you may want to consider wilate.

With the wilate Free Trial Program, eligible VWD patients can receive treatment with wilate (not to exceed 1-3 doses or not exceed approximately 5,000 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 wilate.

3 Steps to Enroll

  1. Download and complete the wilate Free Trial Enrollment and HIPAA forms with your patient.

  2. Write and hand your patient a prescription for wilate

  3. Your patient faxes completed forms and wilate 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 wilate Free Trial Enrollment and HIPAA forms and sends prescription to pharmacy for dispensing of wilate
  • Program Administrator confirms wilate is shipped to your patient
  • Patient is administered wilate under the care and supervision of a healthcare provider

 

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Your local Octapharma Coagulation Specialist (CSS) is prepared to answer your questions about wilate.

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