Agrylin 0.5mg, of program Shire US Patient Assistance Program,
A Free Prescription Drug Program of Shire Pharmaceuticals
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Agrylin 0.5mg of program Shire US Patient Assistance Program can be found below. The program Shire US Patient Assistance Program directed by Shire Pharmaceuticals conveys this drug Agrylin 0.5mg to patients who qualify after acceptance occurs. Read the available info and then proceed towards applying to the Shire US Patient Assistance Program program(s) for Agrylin 0.5mg by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Shire US Patient Assistance Program program to get Agrylin 0.5mg meds. At times, a program's process may change without advanced notice.
Listen to the Shire US Patient Assistance Program program associate's requests competely because they are there to help you. No-cost prescription med programs (this Agrylin 0.5mg prescription and others) exist for the good of everyone including needy patients, the program's company Shire Pharmaceuticals 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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Agrylin 0.5mg |
| Name of Program |
Shire US Patient Assistance Program |
| Affiliated Company |
Shire Pharmaceuticals |
| Address of Program |
PO Box 698 |
| Address 2 |
Somerville NJ 08876 |
| Address 3 |
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| Phone (Voice) |
908-203-0657 |
| Fax |
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| How to get application |
Call program |
| General guidelines/directives for applicants |
Must have no prescription drug coverage, used all prescription coverage and meet undisclosed guidelines. Program also has a cost-share component for patients who don't meet the assistance eligibility guidelines. If patient has run out of prescription coverage they will need to get a letter stating so from their insurance company. If patient has Medicare only, they will need to provide a copy of their Medicare card and a written statement saying they have no prescription coverage. |
| Beginning course of action to obtain drugs |
Doctor's office calls for patient specific application to be faxed to doctor's office. Completed application must be mailed on return. |
| Doctor/provider's |
Completes application section and attaches prescription. |
| Responsibilities of Patient |
Completes section of application, attaches proof of income, and other applicable documents. |
| Distribution manner |
Medication sent to doctor's office. |
| Amount distributed |
90 day supply |
| Refill process |
Doctor completes and mails reorder form with prescription to program. New application required yearly. |
| Program limitations |
Indefinite |
Paid source(s):
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