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Nitrolingual Pumpspray, of program First Horizon Patient Assistance Program,

A Free Prescription Drug Program of First Horizon Pharmaceutical Corp.

Nitrolingual Pumpspray of program First Horizon Patient Assistance Program can be found below. The program First Horizon Patient Assistance Program directed by First Horizon Pharmaceutical Corp. conveys this drug Nitrolingual Pumpspray to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the First Horizon Patient Assistance Program program(s) for Nitrolingual Pumpspray by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the First Horizon Patient Assistance Program program to get Nitrolingual Pumpspray meds. At times, a program's process may change without advanced notice.

Listen to the First Horizon Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription medication programs (this Nitrolingual Pumpspray prescription and others) exist for the good of everyone including needy patients, the program's company First Horizon Pharmaceutical Corp. 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.

 

Nitrolingual Pumpspray

Name of Program First Horizon Patient Assistance Program
Affiliated Company First Horizon Pharmaceutical Corp.
Address of Program PO Box 66553
Address 2 St Louis MO, 63166-6553
Address 3
Phone (Voice) 800-869-4515
Fax na
How to get application request application
General guidelines/directives for applicants US residency required and income must be below Federal Poverty Guidelines (may also show financial hardship).
Beginning course of action to obtain drugs Call for application. Blank application may be copied. Mail completed application to program.
Doctor/provider's Completes, signs section and includes prescription. Can prescribe up to 3 refills, at 90 days per fill ( except for Nitrolingual).
Responsibilities of Patient Financial and insurance information required ( Proof of income required, use 4506 form ).
Distribution manner Medication sent to physician's office within 2-3 weeks of approval.
Amount distributed 91 day supply, except for Nitrolingual at one bottle/year.
Refill process Patient calls company and requests refill. (This works if doctor noted refills on original prescription.) New application required annually.
Program limitations Indefinite
Paid source(s):




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