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Brethine Solution for Injection, of program AAI Pharma Assists,

A Free Prescription Drug Program of AAI Pharma Inc.


Brethine Solution for Injection of program AAI Pharma Assists can be found below. The program AAI Pharma Assists directed by AAI Pharma Inc. conveys this drug Brethine Solution for Injection to patients who qualify after acceptance occurs. Read the available data and then proceed towards applying to the AAI Pharma Assists program(s) for Brethine Solution for Injection by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the AAI Pharma Assists program to get Brethine Solution for Injection meds. At times, a program's process may change without advanced notice.

Listen to the AAI Pharma Assists program associate's requests competely because they are there to help you. Free prescription med programs (this Brethine Solution for Injection prescription and others) exist for the good of everyone including needy patients, the program's company AAI Pharma 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.

 

Brethine Solution for Injection

Name of Program AAI Pharma Assists
Affiliated Company AAI Pharma Inc.
Address of Program PO Box 125
Address 2 Somerville, NJ 08877
Address 3
Phone (Voice) 866-224-0100
Fax
How to get application request application
General guidelines/directives for applicants US residency required, no private or public prescription insurance, and be at or below 120% of the Federal Poverty Guideline.
Beginning course of action to obtain drugs Call for application to be faxed. Completed application must be mailed back. Blank application may be copied.
Doctor/provider's Completes application section
Responsibilities of Patient Completes application section and attaches income proof documents.
Distribution manner Patient gets pharmacy card that has a $10 co-pay
Amount distributed up to 3 month supply
Refill process Re-order application required to continue card activation after 6 months. New application required every year.
Program limitations Indefinite
Paid source(s):




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