Octapharma Free Trial Program

If you are a hemophilia A or von Willebrand disease patient currently using another FVIII or VWD product, or if you’re not currently using factor treatment, you may want to consider a factor therapy from Octapharma. We are making it easier. The Factor My Way Free Trial Program is designed to give you the chance to experience the safety, efficacy and convenience of Octapharma factor therapies at no cost.

Eligible hemophilia A and von Willebrand disease patients can receive a predefined number of Octapharma factor therapy doses as prescribed by their physician, within the Free Trial Program guidelines. This Octapharma factor therapy is provided to you at no cost. The appropriate product will be shipped directly to you and administered under the supervision and care of your physician.

There’s never been a better time to try Octapharma factor therapy and see if it’s right for you.

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Download the Free Trial application for hemophilia A treatment

Download the Free Trial application for von Willebrand disease treatment

Not ready to apply? Learn more about Octapharma factor therapies.

4 Simple Steps to Enroll

You enroll in Factor My Way.
Download the Free Trial application and print it out or send it to your physician.
Your physician completes the Enrollment and Patient Consent Forms and writes you a prescription for your Octapharma factor therapy.
You or your physician sends the completed forms and prescription to the fax number on the form.

3 Simple Steps to Enroll

Download the Free Trial application and print it out or send it to your physician.
- Free Trial application for hemophilia A treatment
- Free Trial application for von Willebrand disease treatment
Your physician completes the Enrollment and Patient Consent Forms and writes you a prescription for your Octapharma factor therapy.
You or your physician sends the completed forms and prescription to the fax number on the form.

What Happens Next?

Your Factor My Way representative will review all the documents to ensure you meet program eligibility criteria.
Your Factor My Way representative will process the completed Enrollment and Patient Consent Forms, then send your prescription to a specialty pharmacy for fulfillment.
Your Factor My Way representative will confirm that your Octapharma factor therapy prescription has been shipped to you.
You will be administered your Octapharma factor therapy under the supervision and care of your physician.

Free Trial Program

4 Simple Steps to Enroll

3 Simple Steps to Enroll

What Happens Next?

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