Maxzide 75-50mg, of program Bertek Patient Assistance Program,
A Free Prescription Drug Program of Bertek Pharmaceuticals, Inc.
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Maxzide 75-50mg of program Bertek Patient Assistance Program can be found below. The program Bertek Patient Assistance Program directed by Bertek Pharmaceuticals, Inc. conveys this drug Maxzide 75-50mg to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Bertek Patient Assistance Program program(s) for Maxzide 75-50mg by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Bertek Patient Assistance Program program to get Maxzide 75-50mg meds. At times, a program's process may change without advanced notice.
Listen to the Bertek Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription medication programs (this Maxzide 75-50mg prescription and others) exist for the good of everyone including needy patients, the program's company Bertek Pharmaceuticals, Inc. and even those who do not require this offer. The respect and good manner you show the program and its employees will help yourself and other patients for years into the future.
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Maxzide 75-50mg |
| Name of Program |
Bertek Patient Assistance Program |
| Affiliated Company |
Bertek Pharmaceuticals, Inc. |
| Address of Program |
PO Box 4314 |
| Address 2 |
Morgantown, WV 26504-4314 |
| Address 3 |
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| Phone (Voice) |
888-823-7839 |
| Fax |
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| How to get application |
request applicationes |
| General guidelines/directives for applicants |
Intended to be temporary program for patients. Must be US citizens or documented legal aliens and not eligible for Medicaid or third party prescription coverage. Patient must also be within the federal poverty guidelines. Waiver and release of liability to be signed by the patient and two witnesses. |
| Beginning course of action to obtain drugs |
Call for an application to be faxed. Completed application must be mailed back. Application may be copied. |
| Doctor/provider's |
Doctor completes section of application and attach prescription. |
| Responsibilities of Patient |
Patient fills out a section, signs application and waiver. Witnesses sign waiver. Attach proof of income |
| Distribution manner |
Medication sent to the doctor's office |
| Amount distributed |
94 day supply is sent |
| Refill process |
Renewal application sent with medication. Application must be sent 3 or 4 weeks before the end of 90 day period. |
| Program limitations |
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Paid source(s):
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