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Estratest H.S., of program Solvay Pharmaceuticals Patient Assistance Program,

A Free Prescription Drug Program of


Estratest H.S. of program Solvay Pharmaceuticals Patient Assistance Program can be found below. The program Solvay Pharmaceuticals Patient Assistance Program directed by conveys this drug Estratest H.S. to patients who qualify after acceptance occurs. Read the available information and then proceed towards applying to the Solvay Pharmaceuticals Patient Assistance Program program(s) for Estratest H.S. by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Solvay Pharmaceuticals Patient Assistance Program program to get Estratest H.S. meds. At times, a program's process may change without advanced notice.

Listen to the Solvay Pharmaceuticals Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription medication programs (this Estratest H.S. 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.

 

Estratest H.S.

Name of Program Solvay Pharmaceuticals Patient Assistance Program
Affiliated Company
Address of Program C/O Express Scripts Speciality Distribution Svc.
Address 2 PO Box 66556
Address 3 St. Louis MO 63166-6556
Phone (Voice) 800-256-8918, select option 8
Fax 800-276-9907
How to get application request application
General guidelines/directives for applicants US residency required - have no medical insurance - and be medically indigent to qualify for this program. Patient's annual household income minus out of pocket medical expenses must be under program financial guidelines.
Beginning course of action to obtain drugs Call for application to be faxed. Completed form must be submitted from doctor's office either by fax or mail.
Doctor/provider's Licensed practitioner, nurse practitioner or physician's assistant completes section of the application.
Responsibilities of Patient Provides amount of household income and out of pocket medical expenses
Distribution manner Medication sent to doctor's office.
Amount distributed 9 month supply (Rowasa: 6 week supply)
Refill process new application required for refill
Program limitations Indefinite
Paid source(s):




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