Simplified support starts with My SourceSM for AFSTYLA
Help your patients access financial support and further their understanding of hemophilia A.
Getting your patients started with AFSTYLA is simple.
- Start patient on AFSTYLA with a free 30-day trial
- Fill out an AFSTYLA Patient Referral form to enroll your patient in the AFSTYLA Support
program and begin a benefits investigation
- Fax completed forms to My Source at 1-844-727-2757
A My Source Care Coordinator will contact you and your patient to help complete the enrollment process. Contact My Source with any questions.
For more information, visit
or call a
My Source Care Coordinator–
Monday—Friday, 8 am
to 8 pm