Aggrastat, of program Aggrastat Patient Assistance Program,
A Free Prescription Drug Program of Guilford Pharmacueticals
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Aggrastat of program Aggrastat Patient Assistance Program can be found below. The program Aggrastat Patient Assistance Program directed by Guilford Pharmacueticals conveys this drug Aggrastat to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Aggrastat Patient Assistance Program program(s) for Aggrastat by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Aggrastat Patient Assistance Program program to get Aggrastat meds. At times, a program's process may change without advanced notice.
Listen to the Aggrastat Patient Assistance Program program associate's requests competely because they are there to help you. No-cost prescription drugs programs (this Aggrastat prescription and others) exist for the good of everyone including needy patients, the program's company Guilford Pharmacueticals 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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Aggrastat |
| Name of Program |
Aggrastat Patient Assistance Program |
| Affiliated Company |
Guilford Pharmacueticals |
| Address of Program |
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| Address 2 |
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| Address 3 |
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| Phone (Voice) |
877-810-0595 |
| Fax |
877-923-6786 |
| How to get application |
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| General guidelines/directives for applicants |
Product replacement program where a hospital social worker would usually applies after an uninsured patient is treated with drug. Patient must have no insurance and meet program financial guidelines. |
| Beginning course of action to obtain drugs |
Hospital calls to get application, a facility or doctor's DEA number must be given to get the application. Completed application may be faxed to program. Application may be copied. |
| Doctor/provider's |
Authorized hospital representative signs it (usually social worker), but put doctor's name on app. Send pharmacy dispensing record and drug invoice with application to program (NDC number must appear on the invoice). |
| Responsibilities of Patient |
Patient's name, Social Secuirty Number, address and date of birth required on application. Patient provides financial documents. |
| Distribution manner |
Sent to hospital or facility for their reimbursement once a month. |
| Amount distributed |
amount used |
| Refill process |
na |
| Program limitations |
Indefinite |
Paid source(s):
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