Carafate Oral Suspension, of program Axcan Assist Program,
A Free Prescription Drug Program of Axcan-Scandipharm, Inc
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Carafate Oral Suspension of program Axcan Assist Program can be found below. The program Axcan Assist Program directed by Axcan-Scandipharm, Inc conveys this drug Carafate Oral Suspension to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Axcan Assist Program program(s) for Carafate Oral Suspension by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Axcan Assist Program program to get Carafate Oral Suspension meds. At times, a program's process may change without advanced notice.
Listen to the Axcan Assist Program program associate's requests competely because they are there to help you. No-cost prescription meds programs (this Carafate Oral Suspension prescription and others) exist for the good of everyone including needy patients, the program's company Axcan-Scandipharm, 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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Carafate Oral Suspension |
| Name of Program |
Axcan Assist Program |
| Affiliated Company |
Axcan-Scandipharm, Inc |
| Address of Program |
PO Box 52067 |
| Address 2 |
Phoenix AZ, 85072-9154 |
| Address 3 |
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| Phone (Voice) |
866-292-2681 |
| Fax |
na |
| How to get application |
Contact program |
| General guidelines/directives for applicants |
Must be at or below federal poverty guidelines, with no prescription coverage (or patient may coverage but exhausted, then they are still eligible but have a co-pay of $3 to $18). |
| Beginning course of action to obtain drugs |
Call to start the process with necessary info available of patient's gross monthy income, insurance information, number of dependants, Social Secruity Number, and doctor's information. If initially approved over phone, then a presumptive 30 day supply is sent to a pharmacy for the patient to retrieve. Program sends a detailed patient specific application to the patient or doctor. Completed application must be mailed on return. |
| Doctor/provider's |
Completes application section including DEA# and prescription information. |
| Responsibilities of Patient |
Provides financial information |
| Distribution manner |
Patient uses pharmacy card |
| Amount distributed |
Cards are allowed an 11 months supply |
| Refill process |
New application required yearly. |
| Program limitations |
Indefinite |
Paid source(s):
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