Raptiva, of program Genentech Access To Care Foundation (Rapitiva),
A Free Prescription Drug Program of
|
Raptiva of program Genentech Access To Care Foundation (Rapitiva) can be found below. The program Genentech Access To Care Foundation (Rapitiva) directed by conveys this drug Raptiva to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Genentech Access To Care Foundation (Rapitiva) program(s) for Raptiva by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Genentech Access To Care Foundation (Rapitiva) program to get Raptiva meds. At times, a program's process may change without advanced notice.
Listen to the Genentech Access To Care Foundation (Rapitiva) program associate's requests competely because they are there to help you. Free prescription meds programs (this Raptiva prescription and others) exist for the good of everyone including needy patients, the program's company 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.
|
Raptiva |
| Name of Program |
Genentech Access To Care Foundation (Rapitiva) |
| Affiliated Company |
|
| Address of Program |
|
| Address 2 |
|
| Address 3 |
|
| Phone (Voice) |
866-480-7762 |
| Fax |
866-481-7762 |
| How to get application |
request application |
| General guidelines/directives for applicants |
Must have no insurance or be underinsured for medication. Patient must meet program financial guidelines. |
| Beginning course of action to obtain drugs |
Must call for Statement of Medical Necessity and Patient Authorization Form. It can also be downloaded from www.spoconline.com The doctor faxes completed Statement and Authorization Form to program to decide eligibility. If eligible then program sends application to patient. |
| Doctor/provider's |
Completes information in Statement of Medical Necessity (has a prescription section). Doctor must also enroll when enrolling first patient using the Physician Profile (available on www.spoconline.com). |
| Responsibilities of Patient |
Signs Patient Authorization Form and completes application |
| Distribution manner |
Medication sent to patient's home or doctor's office. |
| Amount distributed |
Starts with 30 day supply. Afterwards up to 90 day supply may be delivered. |
| Refill process |
Patient calls two weeks before getting refill. New application is required every year in May. |
| Program limitations |
not available |
Paid source(s):
|
©2004-2005 Free-Prescription-Drug-Programs.Netfirms.com
