To enroll in ENcourage Foundation®, patients must complete the Patient Application Form and have their physicians complete the Product Prescription Form or submit an original script.
Once a completed application and any required supporting documents have been received and processed, the patient and provider will be notified of the enrollment decision. Missing information or an incomplete application will delay an enrollment decision.
Enbrel® (etanercept) will be shipped directly to the patient unless otherwise requested by the physician.
Click here to access our online application.
Click here for tip sheets to help with the application process and obtaining product refills.
Patients are typically enrolled for a 12-month period and may re-enroll at the end of their enrollment period.
To re-enroll in ENcourage Foundation®, patients must submit a new application prior to the end of their enrollment period.
Disclaimer: ENcourage Foundation® reserves the right to make an independent determination of eligibility in all cases. ENcourage Foundation® also reserves the right to approve or deny any ENcourage Foundation® application or to modify or discontinue the program with respect to any patient or provider, or in its entirety, at any time.