Betapace AF 80 mg, of program Berlex Patient Assistance Program,
A Free Prescription Drug Program of Berlex Laboratories
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Betapace AF 80 mg of program Berlex Patient Assistance Program can be found below. The program Berlex Patient Assistance Program directed by Berlex Laboratories conveys this drug Betapace AF 80 mg to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Berlex Patient Assistance Program program(s) for Betapace AF 80 mg by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Berlex Patient Assistance Program program to get Betapace AF 80 mg meds. At times, a program's process may change without advanced notice.
Listen to the Berlex Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription drug programs (this Betapace AF 80 mg prescription and others) exist for the good of everyone including needy patients, the program's company Berlex Laboratories 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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Betapace AF 80 mg |
| Name of Program |
Berlex Patient Assistance Program |
| Affiliated Company |
Berlex Laboratories |
| Address of Program |
PO Box 1000 M2/1-11 |
| Address 2 |
Montville, NJ 07045-1006 |
| Address 3 |
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| Phone (Voice) |
888-237-5394, option 6, option 7 |
| Fax |
973-305-3551 |
| How to get application |
Contact program |
| General guidelines/directives for applicants |
US citizenship, call for more details. After a year, program will send doctor's office new application to be completely filled out with current info and signed by patient and doctor. |
| Beginning course of action to obtain drugs |
Patient may call. If a patient calls, have necessary info available (doctor's fax and phone number and addressee name of fax. The application may be copied. Completed application may be faxed or mailed. |
| Doctor/provider's |
Patient fills out Patient Enrollment form listing annual gross family income (provide proof) and martial status, checks all appropriate boxes and signs consent form. |
| Responsibilities of Patient |
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| Distribution manner |
Within a week to 10 days of acceptance, program sends medication to doctor's office. |
| Amount distributed |
9 month supply |
| Refill process |
Quarterly Product Request form is sent to the doctor/prescriber's office that needs to be filled out for refills. |
| Program limitations |
Indefinite |
Paid source(s):
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